MEDICARE: DR. WILLIAM N FRIEDMAN M.D.

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	2085R0202X	Diagnostic Radiology Physician	030954	CT

General Provider Information

NPI Number	:	1861480576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM N FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	21 LOVERS LN
Second Line	:
City	:	MADISON
State	:	CT
Zip	:	06443-3317
Country	:	US
Telephone Number	:	203-494-7095
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 GOOSE LN
Second Line	:
City	:	GUILFORD
State	:	CT
Zip	:	06437-5101
Country	:	US
Telephone Number	:	203-453-7200
Fax Number	:

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	02/16/2020

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