Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 36002311 | OH |
N | 213ES0131X | Foot Surgery | 36002311 | OH |
NPI | 1205899887 |
---|---|
Provider Name | Dr. Roger Lee Friedman |
First Address | Sheffield Village, OH 44035-0600 |
Second Address | Sheffield Village, OH 44035-0600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 09/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1750564845 | ORGANIZATIONAL NPI (01) | OH |
U41353 | (02) | OH |