Individual
PHILIP FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 CLEARWATER DR, SUITE 106, FALMOUTH, ME 04105-1339
(207) 400-8570
(207) 400-8580
Mailing address
75 CLEARWATER DR, SUITE 106, FALMOUTH, ME 04105-1339
(207) 400-8570
(207) 400-8580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012049
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046861
ANTHEM
ME
05
—
301260099
—
ME
01
—
3391930
AETNA
—
05
—
402700099
—
ME
01
—
C66229
HARVARD PILGRIM HEALTHCAR
—
Enumeration date
01/17/2007
Last updated
10/23/2009
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