Individual
JENNIFER FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB CH.B
Contact information
Practice address
575 MAIN STREET, GORHAM, ME 04038
(207) 839-2559
(207) 523-1135
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
(207) 828-7850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15855
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268140099
—
ME
Enumeration date
04/25/2006
Last updated
09/23/2020
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