Friedman, Theodore Marcus

Friedman, Theodore Marcus is an sole proprietor health care provider with primary practice located at 3600 Joseph Siewick Dr Dept Of Pathology, Inova Fair Oaks Hospital, Fairfax VA 22033-1709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Friedman, Theodore Marcus can be contacted via phone (703) 391-3654.

Contact Information

Primary practice address
3600 Joseph Siewick Dr Dept Of Pathology, Inova Fair Oaks Hospital Fairfax VA 22033-1709
Phone: (703) 391-3654
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101249423 Virginia

Profile Details

NPI number 1164608451
LBN Legal business name Friedman, Theodore Marcus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2008
Last updated Mar 25th, 2015 - about 11 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 1164608451 NPPES
Arkansas MEDICAID 169935001

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