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NPI Code Detail

MEDICARE: JAMES E FRENIER PA

MEDICARE: JAMES E FRENIER PA
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
1363AS0400XSurgical Physician AssistantPA0139RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790782530
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES E FRENIER PA
Provider Business Mailing Address
First Line : 211 QUAKER LN
Second Line : N. CAMPUS BUSINESS OFFICE, ATTN; R. SOARES
City : WEST WARWICK
State : RI
Zip : 02893-2151
Country : US
Telephone Number : 401-270-7077
Fax Number :
Provider Business Practice Location Address
First Line : 825 CHALKSTONE AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02908-4728
Country : US
Telephone Number : 401-456-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 05/23/2016

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