=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174965602
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRIEDMAN CARDIOLOGY PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/25/2013
-----------------------------------------------------
Last Update Date | 07/25/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5845 CENTRE AVE
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15206-3759
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-363-7474
-----------------------------------------------------
Fax | 412-363-9971
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5845 CENTRE AVE
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15206-3759
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-363-7474
-----------------------------------------------------
Fax | 412-363-9971
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ABE W FRIEDMAN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 412-363-7474
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | MD022080E
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------