Healthcare Provider Details

I. General information

NPI: 1528938511
Provider Name (Legal Business Name): MS. MUZHGAN FROTAN I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 CHENEY PL # F3
MANCHESTER NH
03101-2836
US

IV. Provider business mailing address

F3, 34 CHENEY PLACE,
MANCHESTER NH
03101
US

V. Phone/Fax

Practice location:
  • Phone: 978-305-4251
  • Fax:
Mailing address:
  • Phone: 978-305-4251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: