Healthcare Provider Details

I. General information

NPI: 1376523100
Provider Name (Legal Business Name): BARRY S FRIEDMAN OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 12/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 PLEASANT ST UNIT 2
ROCKLAND MA
02370-1280
US

IV. Provider business mailing address

265 PLEASANT ST UNIT 2
ROCKLAND MA
02370-1280
US

V. Phone/Fax

Practice location:
  • Phone: 781-878-6962
  • Fax: 781-878-7131
Mailing address:
  • Phone: 781-878-6962
  • Fax: 781-878-7131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2274
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: