Healthcare Provider Details

I. General information

NPI: 1154311082
Provider Name (Legal Business Name): RONALD MYRON FRIEDMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2005
Last Update Date: 10/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 HOSPITAL DR 4TH FLOOR
ASHEVILLE NC
28801-4550
US

IV. Provider business mailing address

21 HOSPITAL DR 4TH FLOOR
ASHEVILLE NC
28801-4550
US

V. Phone/Fax

Practice location:
  • Phone: 828-253-4262
  • Fax: 828-418-0932
Mailing address:
  • Phone: 828-253-4262
  • Fax: 828-418-0932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number9600095
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number9600095
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number96-00095
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: