Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | OS013734 | PA |
N | 2080P0206X | Pediatric Gastroenterologist | DO29046 | OR |
Y | 2080P0206X | Pediatric Gastroenterologist | DR-50219 | CO |
N | 2080P0206X | Pediatric Gastroenterologist | OP60135971 | WA |
N | 2080P0206X | Pediatric Gastroenterologist | OS013734 | PA |
NPI | 1003018730 |
---|---|
Provider Name | Dr. Joel A. Friedlander |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 12/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47024356 | (05) | CO |