Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 224215 | MA |
N | 111NI0900X | Internist | 224215 | MA |
Y | 207RR0500X | Rheumatology | 224215 | MA |
NPI | 1053393074 |
---|---|
Provider Name | Dr. Robert Patrick Friday |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 09/11/2012 |