Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 152241 | MA |
NPI | 1013022300 |
---|---|
Provider Name | Dr. Elizabeth A Friedlander |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2783 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 06/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0717312 | (05) | MA |
P73485 | (02) |