Provider Demographics
NPI:1801874755
Name:FABRIZIO, MICHAEL ANTHONY JR (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:FABRIZIO
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:387 COLUMBUS AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4909
Mailing Address - Country:US
Mailing Address - Phone:413-443-9629
Mailing Address - Fax:413-445-6523
Practice Address - Street 1:387 COLUMBUS AVENUE EXT
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4909
Practice Address - Country:US
Practice Address - Phone:413-443-9629
Practice Address - Fax:413-445-6523
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-01
Last Update Date:2025-09-11
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Provider Licenses
StateLicense IDTaxonomies
MA43684208000000X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9763805Medicaid
MA9763805Medicaid