Provider Demographics
NPI:1275666026
Name:FRIZZOLA, MEG A (DO)
Entity Type:Individual
Prefix:
First Name:MEG
Middle Name:A
Last Name:FRIZZOLA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:ANN
Other - Last Name:GRIGALONIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19723-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-4000
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:1600 ROCKLAND ROAD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3607
Practice Address - Country:US
Practice Address - Phone:302-651-4000
Practice Address - Fax:302-651-6410
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC200081592080P0203X
PAOS0138412080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine