Physician Compare National (NPI:1437155850)

HEALTHCARE PROVIDER: MATTHEW FRIEDMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1437155850
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294895553
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081118000035
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRIEDMAN
	Individual professional last name
Provider First Name	MATTHEW
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1050 SULLIVAN AVE
	Group Practice or individual's line 1 address
City	SOUTH WINDSOR
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	060742000
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8606443411
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070027
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MANCHESTER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070012
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ROCKVILLE GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y