MEDICARE: STEVEN A FRIEDMAN, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	MD011561E	PA

General Provider Information

NPI Number	:	1033408190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN A FRIEDMAN, MD, PC

Provider Business Mailing Address
First Line	:	657 LAKEVIEW CIR
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2608
Country	:	US
Telephone Number	:	610-789-0568
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 W CHESTER PIKE
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-4400
Country	:	US
Telephone Number	:	610-789-0568
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN ARTHUR FRIEDMAN
Credential	:	M.D.
Telephone Number	:	610-789-0568

Provider Enumeration Date	:	03/29/2011
Last Update Date	:	03/29/2011

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