Individual
DR. MICHAEL JOSEPH FRACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 BELLE TERRE RD, SUITE #204, PORT JEFFERSON, NY 11777-1935
(631) 474-0008
(631) 474-0224
Mailing address
635 BELLE TERRE RD, SUITE #204, PORT JEFFERSON, NY 11777-1935
(631) 474-0008
(631) 474-0224
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
163267-1
NY
Other
Enumeration date
08/08/2006
Last updated
01/17/2011
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