Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 237619 | MA |
NPI | 1376596635 |
---|---|
Provider Name | Dr. Robert J Friedlander JR. |
First Address | Needham, MA 02494-2829 |
Second Address | Boston, MA 02215-3904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 15/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0102460YONH02 | ANTHEM (01) | NH |
2764 | CIGNA (01) | NH |
30001951 | (05) | NH |
30-04020 | UNITED HEALTHCARE (01) | NH |
B79411 | (02) | NH |