Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 25MB03400800 | NJ |
N | 207U00000X | Nuclear Medicine Specialist | OS003194L | PA |
NPI | 1740260371 |
---|---|
Provider Name | Martin Louis Friedman |
First Address | Philadelphia, PA 19178-2743 |
Second Address | Philadelphia, PA 19124-2618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 19/01/2016 |