Provider Demographics
NPI:1598021123
Name:FRIMBERGER, ELISABETH H (MD)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:H
Last Name:FRIMBERGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 BAILEYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06455-1014
Mailing Address - Country:US
Mailing Address - Phone:860-416-0078
Mailing Address - Fax:
Practice Address - Street 1:255 BAILEYVILLE RD
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06455-1014
Practice Address - Country:US
Practice Address - Phone:860-416-0078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0332122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry