Frederick Clapp Roediger M.D.

NPI 1659409977 - Otolaryngology - 207Y00000X

NPI Details
NPI 1659409977
Gender Male
Enumeration Date 02/28/2007
Last Updated 04/03/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1250 FOREST AVE
SUITE 301
PORTLAND ME, 04103-1897, US
Phone (207) 797-5753
Fax (207) 797-9571
Business Location
301C US ROUTE 1
SCARBOROUGH ME, 04074-9701, US
Phone (207) 396-8600
Fax (207) 396-8632
Toxanomy
Taxonomy Code 207Y00000X
License State Maine
License Number MD18047
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According to our database, Frederick Clapp Roediger M.D. NPI is 1659409977, taxonomy code is 207Y00000X and license number is MD18047, license state is located at Maine. Frederick Clapp Roediger M.D. physically located at 1250 Forest Ave, Portland ME, 04103-1897. NPI Number Frederick Clapp Roediger M.D. has the Individual type.

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1659409977 NPI number is provided on an as is basis without warranty of any kind. 1659409977 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Clapp Roediger M.D. are for informational purposes only.