Paul Ellsworth Fracolli in Fremont - General Practice
Paul Ellsworth Fracolli - NPI 1235277872
Paul Ellsworth Fracolli is a General Practice in Fremont, California. Paul Ellsworth Fracolli practices all healthcare services and medical treatments related to General Practice. The NPI Number for Paul Ellsworth Fracolli is 1235277872. The last update date is 2007-07-08.
Paul Ellsworth Fracolli's current location address is 39572 Stevenson Pl, Fremont, California. You can contact this provider via phone number 5107952260 and fax number 5107952264. The mailing address for Paul Ellsworth Fracolli is 39572 Stevenson Pl, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Ellsworth Fracolli |
|---|---|
| Address | 39572 Stevenson Pl, Fremont, California |
| Phone Number | 5107952260 |
| Fax Number | 5107952264 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1235277872 |
|---|---|
| Provider Enumeration Date | 2007-02-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 39572 Stevenson Pl |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945393075 |
| Phone Number | 5107952260 |
| Fax Number | 5107952264 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 29047 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Paul Ellsworth Fracolli by the Centers for Medicare & Medicaid Services (CMS)?
The Paul Ellsworth Fracolli has been assigned the NPI (National Provider Identifier) 1235277872. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Paul Ellsworth Fracolli?
The Paul Ellsworth Fracolli is physically situated at 39572 Stevenson Pl, in the city of Fremont, state of CA, with the postal code 945393075.
What is Paul Ellsworth Fracolli's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paul Ellsworth Fracolli is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Paul Ellsworth Fracolli receive the assignment of its 1235277872 from the Centers for Medicare & Medicaid Services?
The Paul Ellsworth Fracolli was issued its 1235277872 by the Centers for Medicare & Medicaid Services on 2007-02-04.
When was the information regarding Paul Ellsworth Fracolli, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Ellsworth Fracolli, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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