Healthcare Provider Details

I. General information

NPI: 1326211889
Provider Name (Legal Business Name): JAMES L FRIEDLANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2008
Last Update Date: 02/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 S 80TH AVE STE 210
OMAHA NE
68124-3253
US

IV. Provider business mailing address

2808 S 80TH AVE STE 210
OMAHA NE
68124-3253
US

V. Phone/Fax

Practice location:
  • Phone: 402-391-1800
  • Fax: 402-391-1563
Mailing address:
  • Phone: 402-391-1800
  • Fax: 402-391-1563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2007016065
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number26735
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number40242
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number26735
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number40242
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: