Frederick Clapp Roediger in Portland - Otolaryngology

Frederick Clapp Roediger - NPI 1659409977

Frederick Clapp Roediger is a Otolaryngology in Portland, Maine. Frederick Clapp Roediger practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Frederick Clapp Roediger is 1659409977. The last update date is 2012-04-03.

Frederick Clapp Roediger's current location address is 1250 Forest Ave, Portland, Maine. You can contact this provider via phone number 2077975753 and fax number 2077979571. The mailing address for Frederick Clapp Roediger is 1250 Forest Ave, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Frederick Clapp Roediger
Address 1250 Forest Ave, Portland, Maine
Phone Number 2077975753
Fax Number 2077979571
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1659409977
Provider Enumeration Date 2007-02-28
Last Updated Date 2012-04-03

Provider Mailing Address Detail

Address 1250 Forest Ave
City Portland
State Maine (ME)
Post Code 41031897
Phone Number 2077975753
Fax Number 2077979571

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No MD18047
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30209197 ME NEW HAMPSHIRE MEDICAID
P00759644 ME RAILROAD MEDICARE GROUP PTAN
1044199 ME AETNA
AA146929 ME HARVARD PILGRIM
433941099 ME --

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FAQs about Frederick Clapp Roediger

What is the unique 10-digit identification code issued to Frederick Clapp Roediger by the Centers for Medicare & Medicaid Services?

The Frederick Clapp Roediger has been assigned the NPI (National Provider Identifier) 1659409977 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Frederick Clapp Roediger is located?

The Frederick Clapp Roediger is situated at the following address: 1250 Forest Ave, Portland, ME, 41031897.

What is Frederick Clapp Roediger's specialized field of practice, and what is the corresponding taxonomy classification code?

The Frederick Clapp Roediger's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659409977 to Frederick Clapp Roediger?

The Frederick Clapp Roediger received its 1659409977 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.

As of what date were the details pertaining to Frederick Clapp Roediger last refreshed?

The information related to the Frederick Clapp Roediger, including its address, specialty, and other relevant details, was last updated on 2012-04-03.

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