Individual
DR. EDUARDO MAURICIO FRAIFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(347) 934-7114
(434) 797-2514
Mailing address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 797-2514
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101055618
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101055618
VA
208VP0014X
Interventional Pain Medicine Physician
0101055618
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0557Q
BCBS
NC
01
—
366425
ANTHEM BCBS VA
VA
05
—
5708702
—
VA
05
—
890557Q
—
NC
01
—
P00814694
RR MEDICARE VA
VA
Enumeration date
05/01/2006
Last updated
06/10/2020
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