Healthcare Provider Details

I. General information

NPI: 1679763221
Provider Name (Legal Business Name): DR CRAIG FRIEDMAN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 02/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N CALVERT ST SUITE 550
BALTIMORE MD
21218-2867
US

IV. Provider business mailing address

3333 N CALVERT ST SUITE 550
BALTIMORE MD
21218-2867
US

V. Phone/Fax

Practice location:
  • Phone: 410-243-1313
  • Fax: 410-358-7202
Mailing address:
  • Phone: 410-243-1313
  • Fax: 410-358-7202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: CRAIG S FRIEDMAN
Title or Position: OWNER
Credential: DPM
Phone: 410-243-1313