Provider Demographics
NPI:1003094491
Name:FRISBIE HEALTH SERVICES
Entity Type:Organization
Organization Name:FRISBIE HEALTH SERVICES
Other - Org Name:STRAFFORD CARDIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUDREAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-332-1400
Mailing Address - Street 1:21 WHITEHALL RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-3236
Mailing Address - Country:US
Mailing Address - Phone:603-332-1400
Mailing Address - Fax:603-332-2941
Practice Address - Street 1:21 WHITEHALL RD
Practice Address - Street 2:SUITE 301
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3236
Practice Address - Country:US
Practice Address - Phone:603-332-1400
Practice Address - Fax:603-332-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE8676Medicare UPIN