Individual
PAULA M. FRACASSO
Active
Individual
PAULA M. FRACASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101242544
VA
207RX0202X
Medical Oncology Physician
Primary
0101242544
VA
207RX0202X
Medical Oncology Physician
R2P12
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508895343
—
VA
05
—
203036306
—
MO
Enumeration date
07/02/2006
Last updated
10/08/2010
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