Healthcare Provider Details

I. General information

NPI: 1346530110
Provider Name (Legal Business Name): JOSHUA FRIEDMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 08/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 WILSON AVE
WASHINGTON PA
15301
US

IV. Provider business mailing address

1100 VILLAGE DR APT 1413
PITTSBURGH PA
15241-1456
US

V. Phone/Fax

Practice location:
  • Phone: 516-287-6368
  • Fax:
Mailing address:
  • Phone: 516-287-6368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOS019104
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: