MEDICARE: DR. HOWARD RONALD FRIEDMAN MD

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	207R00000X	Internal Medicine Physician	D0001703	MD

General Provider Information

NPI Number	:	1447237508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD RONALD FRIEDMAN MD

Provider Business Mailing Address
First Line	:	3315 OLYMPIA AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-1733
Country	:	US
Telephone Number	:	410-358-3672
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 FAIRMOUNT AVE
Second Line	:	CREDENTIALING DEPT
City	:	TOWSON
State	:	MD
Zip	:	21286-5466
Country	:	US
Telephone Number	:	410-526-7800
Fax Number	:	410-526-4534

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	02/06/2008

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