Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD00031061 | WA |
NPI | 1013936343 |
---|---|
Provider Name | Andrew S Friedman |
First Address | Seattle, WA 98101-2756 |
Second Address | Seattle, WA 98101-2756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 23/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0039622 | LABOR & INDUSTRY (01) | WA |
206033 | LABOR AND INDUSTRIES (01) | WA |
805441900 | (05) | ID |
805441900 | IDAHO MEDICAID (01) | WA |
8181455 | (05) | WA |
990005755 | RAILROAD MEDICARE (01) | |
FR5117 | BLUE SHIELD (01) | WA |
G17672 | (02) | |
G17672 | (02) | WA |
MD6103 | (05) | AK |
MD6103 | ALASKA MEDICAID (01) | WA |
US0862704 | AETNA/USHC SPECIALIST (01) | WA |