Friedman, Mark R

Friedman, Mark R is an individual health care provider with primary practice located at 62 Walpole St , Norwood MA 02062-3316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Friedman, Mark R can be contacted via phone (781) 769-4090.

Contact Information

Primary practice address
62 Walpole St Norwood MA 02062-3316
Fax: (781) 769-6485
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37877 Massachusetts

Profile Details

NPI number 1003983529
LBN Legal business name Friedman, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003983529 NPPES
Massachusetts MEDICAID 9715274

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