Dr. Mary C Fraga, MD
Pediatrics in Trumbull, Connecticut
1821357039- Practice location
- 4141 Madison Ave, Trumbull, CT 06611-3506
- Phone
- 203-371-8790
- Fax
- —
- Last updated
- October 22, 2025
Mary C Fraga is a Pediatrics based in Trumbull, CT. Mary C Fraga practices in Trumbull, CT and has the professional credentials of MD. The NPI Number for Mary C Fraga is 1821357039 and holds a License No. 054211 (CT). The current practice location address for Mary C Fraga is 4141 Madison Ave, Trumbull, CT 06611-3506 and can be reached out via phone at 203-371-8790.
Provider Profile Details
- NPI Number
- 1821357039
- Provider Name
- Mary C Fraga
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4141 Madison Ave, Trumbull, CT 06611-3506
- Phone Number
- 203-371-8790
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 8, 2012
- Last Update Date
- October 22, 2025
- Certification Date
- October 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4141 Madison Ave
Trumbull, CT 06611-3506 - City
- Trumbull
- State
- Connecticut
- Zip
- 06611-3506
- Phone Number
- 203-371-8790
Provider Business Mailing Address Details
- Address
- 210 Westchester Ave
White Plains, NY 10604-2901 - City
- White Plains
- State
- NY
- Zip
- 10604-2901
- Phone Number
- 914-682-0731
- Fax Number
- 914-681-5289
License Information
- License Number
- 054211
- License State
- CT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Trumbull, CT
View all Pediatrics providers in Trumbull →Frequently Asked Questions
What is the NPI number of Dr. Mary C Fraga, MD?
The NPI number of Dr. Mary C Fraga, MD is 1821357039. It was assigned on May 8, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary C Fraga, MD?
Dr. Mary C Fraga, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 054211.
Where does Dr. Mary C Fraga, MD practice?
The practice location is 4141 Madison Ave, Trumbull, CT 06611-3506. The office can be reached at 203-371-8790 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821357039 directly on the NPPES registry website.