Provider Demographics
NPI:1558775635
Name:SMITHFIELD PRIMARY CARE LLC.
Entity Type:Organization
Organization Name:SMITHFIELD PRIMARY CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAIOLI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:401-349-2203
Mailing Address - Street 1:41 SANDERSON RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-2602
Mailing Address - Country:US
Mailing Address - Phone:401-349-2203
Mailing Address - Fax:401-349-2408
Practice Address - Street 1:41 SANDERSON RD
Practice Address - Street 2:SUITE 206
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-2602
Practice Address - Country:US
Practice Address - Phone:401-349-2203
Practice Address - Fax:401-349-2408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty