Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 0101043148 | VA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 27919 | WV |
NPI | 1215906409 |
---|---|
Provider Name | Dr. Ted D Friehling |
First Address | Morgantown, WV 26506-1200 |
Second Address | Fairfax, VA 22031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 16/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006001262 | (05) | VA |
B41706 | (02) | VA |