Frezza, Ermenegildo E.

Frezza, Ermenegildo E. is an individual health care provider with primary practice located at 311 W Country Club Rd Ste 1, Roswell NM 88201-5839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Frezza, Ermenegildo E. can be contacted via phone (575) 625-3400.

Contact Information

Primary practice address
311 W Country Club Rd Ste 1 Roswell NM 88201-5839
Phone: (575) 625-3400
Fax: (575) 625-3415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M1684 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2006-0035 New Mexico

Profile Details

NPI number 1083698435
LBN Legal business name Frezza, Ermenegildo E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jan 5th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083698435 NPPES
Texas MEDICAID 159122407

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