Male or Other

Dr. Michael A. Fabrizio MD

Full Name

Dr. Michael Anthony Fabrizio MD

NPI Number

1801874755

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/01/2006

Specialties

(Taxonomies)

Code

2080P0006X
208000000X

Primary Taxonomy

No
No

Licenses

State

Massachusetts

License Number

43684

Contact
Information

Purpose

Mailing
Location

Address

387 COLUMBUS AVENUE EXT
387 COLUMBUS AVENUE EXT

City

Pittsfield
Pittsfield

State

MA
MA

Postal Code

01201-4909
01201-4909

Country

US
US

Telephone Number

(413) 443-9629
(413) 443-9629

Identifiers

Identifier

9763805

Identifier State

MA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address