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NPI Code Detail

MEDICARE: MS. MARISELA FRIAS

MEDICARE: MS. MARISELA FRIAS
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
1171M00000XCase Manager/Care CoordinatorCT

General Provider Information

NPI Number : 1912858085
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARISELA FRIAS
Provider Business Mailing Address
First Line : 35 CLAUDIA DR APT 123
Second Line :
City : WEST HAVEN
State : CT
Zip : 06516-3006
Country : US
Telephone Number : 860-793-4446
Fax Number :
Provider Business Practice Location Address
First Line : 1 HOPE ST
Second Line :
City : BRISTOL
State : CT
Zip : 06010-6374
Country : US
Telephone Number : 860-793-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ MS. MARISELA FRIAS ” Practice Location

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