Fridberg Associates, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D22433 Issued in MD

Legal business name

FRIDBERG ASSOCIATES, P.C.

Practice address

510 Revolution St
Havre de Grace, MD 21078-3318

Phone

(410) 939-5330

Fax

(410) 939-6204

NPI assigned

Apr 15, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marianne F Fridberg, M.D.NPI 1568489318

Title

Physician

Phone

(410) 939-5330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marianne Fotiadis Fridberg, M.D.

  • Pediatric Adolescent Medicine Physician
  • Havre de Grace, MD
  • NPI 1568489318
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1225354277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783318",
            "telephone_number": "410-939-5330",
            "fax_number": "410-939-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783318",
            "telephone_number": "410-939-5330",
            "fax_number": "410-939-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIDBERG ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "FRIDBERG",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-939-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D22433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156131600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Foley, LGPC, CAC-AD, ADS
• Audrey Forka, MSN,PMHNP-BC
• Norman Lee Fortt, PTA
• Joanna Frank, OT
• Danielle Fredy
• Marianne Fotiadis Fridberg, M.D.
• Herbert Brett Friedman, D.D.S.
• Joseph M. Fritz, D.D.S.
• Judy Fuhrmann
• Kelly Fulp, P.T.

• Specialist in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.