Healthcare Provider Details

I. General information

NPI: 1801729116
Provider Name (Legal Business Name): PHILLIP ANDREW FRIGGLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4494 PALMER RD N
BETHESDA MD
20814
US

IV. Provider business mailing address

130 ROLLINS AVE APT 411
ROCKVILLE MD
20852-8000
US

V. Phone/Fax

Practice location:
  • Phone: 717-271-9896
  • Fax:
Mailing address:
  • Phone: 717-271-9896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: