Healthcare Provider Details

I. General information

NPI: 1003897687
Provider Name (Legal Business Name): HEATHER I FRIMMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER J ISRAEL

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 EAST AVE
NORWALK CT
06851-5721
US

IV. Provider business mailing address

210 COMMERCE WAY SUITE 175
PORTSMOUTH NH
03801-8200
US

V. Phone/Fax

Practice location:
  • Phone: 203-852-9913
  • Fax:
Mailing address:
  • Phone: 603-431-9160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number043027
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number222220
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: