Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 030256 | CT |
NPI | 1063572600 |
---|---|
Provider Name | Dr. Craig D Friedman |
First Address | Wilton, CT 06897-2216 |
Second Address | Wilton, CT 06897-2216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 08/07/2007 |