Provider Demographics
NPI:1942253455
Name:PAOLITTO, FRANK JOHN (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:JOHN
Last Name:PAOLITTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:115 MAIN ST
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1468
Mailing Address - Country:US
Mailing Address - Phone:508-238-7766
Mailing Address - Fax:508-230-5089
Practice Address - Street 1:115 MAIN ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1468
Practice Address - Country:US
Practice Address - Phone:508-238-7766
Practice Address - Fax:508-230-5089
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA288032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2004119Medicaid
MA665748OtherTUFTS GROUP
MA170367000OtherMAGELLAN GROUP
MA714276OtherTUFTS INDIVIDUAL
MA9785442Medicaid
MAM20575OtherBC BS GROUP
MAB11561OtherBC BS INDIVIDUAL
MA2004119Medicaid
MA9785442Medicaid
MAM20575Medicare ID - Type UnspecifiedMEDICARE GROUP