Healthcare Provider Details

I. General information

NPI: 1730121138
Provider Name (Legal Business Name): FRISBIE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 WHITEHALL RD
ROCHESTER NH
03867-3226
US

IV. Provider business mailing address

11 WHITEHALL RD
ROCHESTER NH
03867-3226
US

V. Phone/Fax

Practice location:
  • Phone: 603-332-5211
  • Fax: 603-330-8969
Mailing address:
  • Phone: 603-332-5211
  • Fax: 603-330-8969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number00028
License Number StateNH

VIII. Authorized Official

Name: MR. JOHN A MARZINZIK
Title or Position: CFO
Credential:
Phone: 603-335-8103