Healthcare Provider Details

I. General information

NPI: 1780749481
Provider Name (Legal Business Name): STUART ANDREW FRIEDMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/25/2006
Last Update Date: 04/12/2020
Certification Date: 04/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5162 LINTON BLVD SUITE 201
DELRAY BEACH FL
33484-6567
US

IV. Provider business mailing address

5162 LINTON BLVD SUITE 201
DELRAY BEACH FL
33484-6567
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-2580
  • Fax: 561-495-0928
Mailing address:
  • Phone: 561-495-2580
  • Fax: 561-495-0928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberME38998
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: