Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 229474 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 049473 | CT |
NPI | 1194851295 |
---|---|
Provider Name | Meir Friedman |
First Address | Boston, MA 02241-5933 |
Second Address | Hartford, CT 06102-5037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 11/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001494731 | (05) | CT |