Individual
DR. PHILIP FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN
Contact information
Practice address
30 MAIN ST, EAST HAVEN, CT 06512
(860) 961-0785
(203) 891-5976
Mailing address
PO BOX 719, NIANTIC, CT 06357-0719
(860) 961-0785
(203) 891-5976
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2715
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008013924
—
CT
Enumeration date
05/18/2006
Last updated
07/15/2018
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