Organization
FALMOUTH INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP FREDERICK MD (OWNER AND PROVIDER)
(207) 781-7778
Entity
Organization
Contact information
Practice address
170 US ROUTE 1, SUITE G, FALMOUTH, ME 04105-2137
(207) 781-7778
(207) 781-7779
Mailing address
170 US ROUTE 1, SUITE G, FALMOUTH, ME 04105-2137
(207) 781-7778
(207) 781-7779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Z017045ME02
ANTHEM
ME
05
—
402700000
—
ME
Enumeration date
01/15/2007
Last updated
05/21/2008
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