MEDICARE: DR. HARRY FRIEDMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	MD5273	TN

General Provider Information

NPI Number	:	1023011103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRY FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	920 ESTATE DR
Second Line	:	SUITE 16
City	:	MEMPHIS
State	:	TN
Zip	:	38119
Country	:	US
Telephone Number	:	901-747-4320
Fax Number	:	901-747-4324

Provider Business Practice Location Address
First Line	:	920 ESTATE DR
Second Line	:	SUITE 16
City	:	MEMPHIS
State	:	TN
Zip	:	38119
Country	:	US
Telephone Number	:	901-747-4320
Fax Number	:	901-747-4324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/20/2010

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