Individual
DR. MARY C FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4141 MADISON AVE, TRUMBULL, CT 06611-3506
(203) 371-8790
Mailing address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 682-0731
(914) 681-5289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
054211
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04542210
—
NY
05
—
1821357039
—
CT
Enumeration date
05/08/2012
Last updated
10/22/2025
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