Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 16164 | NH |
N | 2080P0205X | Pediatric Endocrinologist | 16164 | NH |
NPI | 1447589718 |
---|---|
Provider Name | Dr. Emily S Frydman |
First Address | Manchester, NH 03104 |
Second Address | Manchester, NH 03104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2009 |
Last Update Date | 06/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3087320 | (05) | NH |