Individual
DR. FRED FRIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
335 BRIGHTON AVE, PORTLAND, ME 04102-2363
(207) 775-4000
Mailing address
136 LINDEN DR STE 104, WINCHESTER, VA 22601-6900
(540) 504-0118
(207) 888-3733
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
18858
NH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO2594
ME
208100000X
Physical Medicine & Rehabilitation Physician
OS20698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18858
STATE OF NEW HAMPSHIRE BOARD OF MEDICINE
NH
01
—
OS20698
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
06/15/2012
Last updated
05/09/2025
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