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General NPI Number Information
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NPI Number | 1851384671
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Entity Type | Individual
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Provider Name | PETER R FRIED MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 2960 MACK RD #105
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City | FAIRFIELD
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State | OH
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Zip | 45014-5373
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Country | US
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Telephone | 513-860-2692
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Fax | 513-860-1614
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Provider Business Mailing Address
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Address Line | 5053 WOOSTER RD
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City | CINCINNATI
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State | OH
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Zip | 45226-2326
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Country | US
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Telephone | 513-751-2145
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Fax | 513-751-2138
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35056721
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25998
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 01053774A
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License Number State | IN
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