Healthcare Provider Details

I. General information

NPI: 1609010743
Provider Name (Legal Business Name): SARI K FRIEDMAN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2009
Last Update Date: 04/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N MAIN ST
SOUTHINGTON CT
06489-2513
US

IV. Provider business mailing address

101 N MAIN ST
SOUTHINGTON CT
06489-2513
US

V. Phone/Fax

Practice location:
  • Phone: 860-621-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SARI KNECHT FRIEDMAN
Title or Position: OWNER
Credential: M.D.
Phone: 860-621-5500