John Triedman
Internist Clinical Cardiac Electrophysiologist Pediatric Cardiologist
300 Longwood Ave
Boston
, Massachusetts 02115-5724
John Triedman
Internist Clinical Cardiac Electrophysiologist Pediatric Cardiologist
300 Longwood Ave
Boston
, Massachusetts 02115-5724
(603) 890-4404
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About
Features
Specialties
- Internist
- Clinical Cardiac Electrophysiologist
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- John Triedman
- Po Box 9135
- Brookline, MA
- Zip : 02446-9135
- Fax : (603) 890-4404
- Phone : (603) 893-9784
Second Address
- John Triedman
- 300 Longwood Ave
- Boston, MA
- Zip : 02115-5724
- Phone : (617) 355-2793
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 70701 | MA |
| N | 111NI0900X | Internist | 70701 | MA |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 70701 | MA |
| N | 2080P0202X | Pediatric Cardiologist | 70701 | MA |
National Provider Identifier
| NPI | 1225009632 |
|---|---|
| Provider Name | John Triedman |
| First Address | Brookline, MA 02446-9135 |
| Second Address | Boston, MA 02115-5724 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2006 |
| Last Update Date | 02/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3103111 | (05) | MA |
| F50403 | (02) | |
| JT03707 | (05) | RI |
| MD12260 | LICENSE (01) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.