Healthcare Provider Details

I. General information

NPI: 1689630345
Provider Name (Legal Business Name): SAMUEL L FRIEDLANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 01/08/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33001 SOLON RD STE 202
SOLON OH
44139-2864
US

IV. Provider business mailing address

24701 EUCLID AVE THIRD FLOOR - BILLING SERVICES
EUCLID OH
44117-1714
US

V. Phone/Fax

Practice location:
  • Phone: 866-356-8361
  • Fax: 440-349-8160
Mailing address:
  • Phone: 866-356-8361
  • Fax: 440-349-8160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35082777
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35-082777
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: