Individual
DR. CARRIE FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Mailing address
25A JUNE ST, SANFORD, ME 04073-2642
(207) 490-7334
(207) 490-7731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015746
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609120856
—
ME
Enumeration date
05/23/2005
Last updated
04/22/2015
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