Fragoso, Carlos
Fragoso, Carlos is an individual health care provider with primary practice located at 950 Campbell Ave Mailcode 151B, West Haven CT 06516-2770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Fragoso, Carlos can be contacted via phone (203) 932-5711.Contact Information
Primary practice address
950 Campbell Ave Mailcode 151B
West Haven CT 06516-2770
Phone: (203) 932-5711
Fax: (203) 937-4932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 026634 | Connecticut |
Profile Details
| NPI number | 1366423063 |
|---|---|
| LBN Legal business name | Fragoso, Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Dec 28th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366423063 | NPPES |
| Connecticut | MEDICAID | 1266345 |
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