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NPI Code Detail

MEDICARE: JOSHUA C FRIAS PA-C

MEDICARE: JOSHUA C FRIAS PA-C
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
1363A00000XPhysician AssistantPA00546RI
2363AS0400XSurgical Physician AssistantPA3923MA

General Provider Information

NPI Number : 1568793388
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA C FRIAS PA-C
Provider Business Mailing Address
First Line : 200 MILL RD
Second Line : SUITE 180
City : FAIRHAVEN
State : MA
Zip : 02719-5252
Country : US
Telephone Number : 508-973-2000
Fax Number : 508-973-2001
Provider Business Practice Location Address
First Line : 299 FAUNCE CORNER RD
Second Line :
City : NORTH DARTMOUTH
State : MA
Zip : 02747-6244
Country : US
Telephone Number : 508-995-0700
Fax Number : 508-973-1355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2010
Last Update Date : 12/09/2024

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Directions to “ JOSHUA C FRIAS PA-C” Practice Location

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