Healthcare Provider Details

I. General information

NPI: 1205332079
Provider Name (Legal Business Name): ALEXANDER FRIEDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 MAIN ST
WATSONVILLE CA
95076-3027
US

IV. Provider business mailing address

1931 MAIN ST
WATSONVILLE CA
95076-3027
US

V. Phone/Fax

Practice location:
  • Phone: 831-768-6600
  • Fax:
Mailing address:
  • Phone: 856-669-8239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA196994
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: