Individual
JOSEPH TIMOTHY LIFRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
479 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 973-1550
(508) 973-0386
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
261943
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD09929
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093700726
DURABLE
RI
01
—
32172-3
RI BLUE CROSS
RI
01
—
405507
CHIP
RI
05
—
7006971
—
RI
Enumeration date
09/19/2005
Last updated
01/21/2025
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