Fried, Lawrence Elliot
Fried, Lawrence Elliot is an sole proprietor health care provider with primary practice located at 3500 Civic Center Blvd , Philadelphia PA 19104-4395. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Fried, Lawrence Elliot can be contacted via phone (215) 590-1000.Contact Information
Primary practice address
3500 Civic Center Blvd
Philadelphia PA 19104-4395
Phone: (215) 590-1000
Fax: (215) 590-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD460835 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD460835 | Pennsylvania |
Profile Details
| NPI number | 1417246760 |
|---|---|
| LBN Legal business name | Fried, Lawrence Elliot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2011 |
| Last updated | Mar 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417246760 | NPPES |
| Pennsylvania | MEDICAID | 1033085850001 |
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