Healthcare Provider Details

I. General information

NPI: 1912069865
Provider Name (Legal Business Name): FRANKLIN P FRIEDMAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 05/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 WASHINGTON STREET SUITE 350
NORWICH CT
06360-2700
US

IV. Provider business mailing address

330 WASHINGTON STREET SUITE 350
NORWICH CT
06360-2700
US

V. Phone/Fax

Practice location:
  • Phone: 860-886-1956
  • Fax: 860-887-2048
Mailing address:
  • Phone: 860-886-1956
  • Fax: 860-887-2048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FRANKLIN PAUL FRIEDMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 860-886-1956