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NPI Code Detail

MEDICARE: MARIA VALERIA FABRE MD

MEDICARE: MARIA VALERIA FABRE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD14506RI
2207RI0200XInfectious Disease PhysicianMD14506RI

General Provider Information

NPI Number : 1144459314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA VALERIA FABRE MD
Provider Business Mailing Address
First Line : 174 ARMISTICE BLVD
Second Line :
City : PAWTUCKET
State : RI
Zip : 02860-3280
Country : US
Telephone Number : 401-729-2500
Fax Number : 401-729-2077
Provider Business Practice Location Address
First Line : 174 ARMISTICE BLVD
Second Line :
City : PAWTUCKET
State : RI
Zip : 02860-3280
Country : US
Telephone Number : 401-729-2500
Fax Number : 401-729-2077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2009
Last Update Date : 07/24/2015

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