Individual
DR. MARTHA FRIBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-6381
(207) 775-3378
Mailing address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-6381
(207) 775-3378
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
962
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002296
ANTHEM BLUE SHIELD
ME
01
—
040924
ANTHEM BLUE SHIELD
ME
01
—
2427080
AETNA
ME
01
—
2727288
CIGNA INDIV PROV #
ME
01
—
CH8191
RAILROAD MCARE GROUP #
ME
01
—
M2672
NEWHAMPSHIRE CIGNA
NH
Enumeration date
12/07/2005
Last updated
07/09/2007
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