# FRIPPERIES LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821107830
- **Authorized official:** MRS. DEBORAH ANN JACCARINO (PRESIDENT/ CERTIFIED MASTECTOMY FIT)
- **Authorized official phone:** (860) 536-7858

## Contact information

- **Practice address:** 15 W MAIN ST, MYSTIC, CT 06355-2509
- **Practice address phone:** (860) 536-7858
- **Practice address fax:** (860) 536-7858
- **Mailing address:** 15 W MAIN ST, MYSTIC, CT 06355-2509
- **Mailing address phone:** (860) 536-7858
- **Mailing address fax:** (860) 536-7858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | 7565484000 | CT | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 12/12/2007