MEDICARE: DR. ROBIN L 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	207Q00000X	Family Medicine Physician	0101-055746	VA

General Provider Information

NPI Number	:	1467567024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN L FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 698
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-0009
Country	:	US
Telephone Number	:	804-691-1317
Fax Number	:

Provider Business Practice Location Address
First Line	:	9512 IRON BRIDGE RD
Second Line	:	SUITE 100A
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-6458
Country	:	US
Telephone Number	:	804-691-1317
Fax Number	:

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	04/15/2008

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