Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 35040725F | OH |
NPI | 1124017157 |
---|---|
Provider Name | Chad I Friedman |
First Address | Columbus, OH 43214-2300 |
Second Address | Columbus, OH 43214-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0386649 | (05) | OH |