Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 1784 | ME |
NPI | 1043392749 |
---|---|
Provider Name | Dr. Christopher A Frothingham |
First Address | Biddeford, ME 04005 |
Second Address | Saco, ME 04072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 27/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043392749 | (05) | ME |
135022 | (02) |