MEDICARE: PALLIATIVE CARE CONSULTANTS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1205626629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALLIATIVE CARE CONSULTANTS PC

Provider Business Mailing Address
First Line	:	367 US ROUTE 1 STE 3S
Second Line	:
City	:	FALMOUTH
State	:	ME
Zip	:	04105-1352
Country	:	US
Telephone Number	:	716-202-0480
Fax Number	:

Provider Business Practice Location Address
First Line	:	91 AUBURN ST STE J1096
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04103-6008
Country	:	US
Telephone Number	:	207-518-8869
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FRED FRIDMAN
Credential	:
Telephone Number	:	207-775-4000

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	05/05/2026

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