Provider Demographics
NPI:1144203357
Name:BIA, FRANK J (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:BIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3111
Mailing Address - Country:US
Mailing Address - Phone:203-658-9598
Mailing Address - Fax:203-327-5200
Practice Address - Street 1:88 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3111
Practice Address - Country:US
Practice Address - Phone:203-658-9598
Practice Address - Fax:203-327-5200
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT017702207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001177021Medicaid
CT110001651Medicare ID - Type Unspecified
D83583Medicare UPIN