Individual
FRED K FIORAVANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 MARWOOD RD, #5000, CABOT, PA 16023-2239
(724) 352-4448
(724) 352-4412
Mailing address
112 MARWOOD RD, #5000, CABOT, PA 16023-2239
(724) 352-4448
(724) 352-4412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD025211E
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD025211E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00100247003
—
PA
Enumeration date
09/27/2005
Last updated
04/23/2016
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