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Individual

ROGER S. FRIEDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 MAMMOTH RD, SUITE 2, MANCHESTER, NH 03109-4133
(603) 663-8300
(603) 663-8349
Mailing address
275 MAMMOTH RD, SUITE 2, MANCHESTER, NH 03109-4133
(603) 663-8300
(603) 663-8349

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7807
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102584YPNH01
ANTHEM ACES PIN
NH
01
12-40727
UHC PIN
NH
01
20024Y
ANTHEM REFERRING RAN
NH
01
2123
CIGNA PIN
NH
01
2192432
AETNA PIN
NH
01
406446
TUFTS
NH
01
HLO030
HPHC
NH
01
P674376
OXFORD
NH
Enumeration date
10/25/2005
Last updated
02/26/2014
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