MEDICARE: DR CRAIG FRIEDMAN PA

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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1275750242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR CRAIG FRIEDMAN PA

Provider Business Mailing Address
First Line	:	5404 REISTERSTOWN RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-4405
Country	:	US
Telephone Number	:	410-358-5588
Fax Number	:	410-358-7202

Provider Business Practice Location Address
First Line	:	5404 REISTERSTOWN RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-4405
Country	:	US
Telephone Number	:	410-358-5588
Fax Number	:	410-358-7202

Authorized Official
Title or Position	:	OWNER
Name	:	CRAIG FRIEDMAN
Credential	:	DPM
Telephone Number	:	410-358-5588

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	06/16/2008

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