Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 96-00095 | NC |
Y | 111NI0900X | Internist | 96-00095 | NC |
N | 207RH0003X | Hematology & Oncology | 9600095 | NC |
N | 207RX0202X | Medical Oncology | 9600095 | NC |
NPI | 1154311082 |
---|---|
Provider Name | Ronald Myron Friedman |
First Address | Asheville, NC 28801-4550 |
Second Address | Asheville, NC 28801-4550 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2005 |
Last Update Date | 23/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
33813 | BLUE CROSS BLUE SHIELD NC (01) | NC |
36-70737 | CIGNA (01) | NC |
36-70737 | UNITED HEALTHCARE (01) | NC |
8933813 | (05) | NC |
A1968 | MEDCOST (01) | NC |
G21478 | (02) | NC |