Individual provider · Type 1 NPI

Athena Fried

Military Health Care Provider · New London, CT

NPI number 1285732057 Active

Practice location

15 Mohegan Ave
New London, CT 06320-8100

Call (860) 444-8402 Map

Mailing address

1039 Route 163
Oakdale, CT 06370-1108

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1285732057

Athena Fried's National Provider Identifier is 1285732057, issued on Sep 20, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in New London, CT. The record was last updated on Jul 8, 2007.