Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D37565 | MD |
NPI | 1174591713 |
---|---|
Provider Name | Dr. Baruch Friedman |
First Address | Baltimore, MD 21239-2905 |
Second Address | Baltimore, MD 21239-2905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
55661500 | (05) | MD |
E40549 | (02) |