Provider Demographics
NPI:1871506642
Name:KWIECINSKI, FABIA ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:FABIA
Middle Name:ANNE
Last Name:KWIECINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6011 W DIAMOND ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-9504
Mailing Address - Country:US
Mailing Address - Phone:520-326-7296
Mailing Address - Fax:520-326-7296
Practice Address - Street 1:3601 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-629-1848
Practice Address - Fax:520-629-4976
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ15216207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine