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Contact Information

JENNIFER FRIEDMAN, MB CH.B
575 MAIN STREET
GORHAM, ME04038
 Phone: 207-839-2559
 Fax: 207-523-1135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JENNIFER FRIEDMAN · (Female)

NPI # 1760448211
Status Active
Credentials MB CH.B
Entity Individual
Enumeration date 04/25/2006
Last updated 09/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD15855
  • ME Medicaid 268140099
Hospital affiliation(s)
  • MERCY HOSPITAL - (Acute Care)
    144 STATE STREET
    PORTLAND, ME 04101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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