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General NPI Number Information
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NPI Number | 1144218579
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Entity Type | Individual
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Provider Name | GAY L FRIED MD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 6 NESHAMINY INTERPLEX 113
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City | TREVOSE
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State | PA
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Zip | 19053-6964
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Country | US
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Telephone | 215-245-1260
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Fax | 215-245-1560
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD SUITE 300
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1069
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Country | US
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Telephone | 630-725-2730
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Fax | 844-205-5691
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD441084
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD441084
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD441084
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License Number State | PA
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