Organization
MMC ACO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED FRIDMAN (OWNER)
(207) 939-6789
Entity
Organization
Contact information
Practice address
335 BRIGHTON AVE, PORTLAND, ME 04102-2363
(207) 518-8869
(207) 888-3733
Mailing address
91 AUBURN ST STE J1096, PORTLAND, ME 04103-6008
(207) 518-8869
(207) 888-3733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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