Fred Fridman (NPI# 1134481047, PAC ID# 4385874080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1134481047 |
| PAC ID by PECOS | 4385874080 |
| Professional Enrollment ID | I20160614001036 |
| Full Name | Fred Fridman |
| Organization Legal Name | REHABILITATION ASSOCIATES |
| Address |
630 Ocean Ave Portland ME 04103-2704 |
| Phone Number | 2077725456 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 2466743992 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200009 | MAINE MEDICAL CENTER |
| 200008 | MERCY HOSPITAL |
| 200019 | SOUTHERN MAINE HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 630 Ocean Ave, Portland, ME 04103-2704 | 2077725456 | REHABILITATION ASSOCIATES |
| Organization Legal Name | REHABILITATION ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Anastasia Diconzo | Nurse Practitioner | Rehabilitation Associates | 335 Brighton Ave, Portland, ME 04102-2363 |
| Street Address |
630 OCEAN AVE |
| City | PORTLAND |
| State | ME |
| Zip | 04103-2704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia A Harre | Dermatology | 222 Augurn St, Suite 205, Portland, ME 04103 | |
| Rebecca A Austerer | Physical Therapy | 512 Warren Ave, Suite 4, Portland, ME 04103-1006 | |
| David C Higgins | Physical Therapy | Austerer Higgins Physical Therapy and Wellness | 512 Warren Ave, Portland, ME 04103-1006 |
| Tracy E Haller | Clinical Social Worker | 741 Warren Ave, Portland, ME 04103-1007 | |
| Beth L Schurman | Certified Clinical Nurse Specialist (cns) | 105 Beverly St, Portland, ME 04103-1551 | |
| Maryann J Carroll | Clinical Social Worker | 25 Bedell St, Portland, ME 04103-1705 | |
| Christina Ann Gitto | Maxillofacial Surgery | Maine Prosthodontics | 1250 Forest Ave, Portland, ME 04103-1884 |
| Alan David Newton | Maxillofacial Surgery | Maine Prosthodontics | 1250 Forest Ave, Portland, ME 04103-1884 |
| Francesco A Musciano | Maxillofacial Surgery | Maine Prosthodontics | 1250 Forest Ave, Portland, ME 04103-1884 |
| Matthew J Hearst | Otolaryngology | Maine Medical Partners | 1250 Forest Ave, Portland, ME 04103-1889 |
| Find all physicians in zip 04103 | |||
| City | PORTLAND |
| Zip Code | 04103 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | PORTLAND + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Fred Fridman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.