Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD464799 | PA |
Y | 111NI0900X | Internist | MD464799 | PA |
NPI | 1003203100 |
---|---|
Provider Name | Marjorie Friedman |
First Address | Bala Cynwyd, PA 19004-1724 |
Second Address | Bala Cynwyd, PA 19004-1724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2015 |
Last Update Date | 30/11/2018 |