MEDICARE: NEIL JAY FRIEDMAN MD

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	207W00000X	Ophthalmology Physician	G084315	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477644334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL JAY FRIEDMAN MD

Provider Business Mailing Address
First Line	:	1225 CRANE ST
Second Line	:	SUITE 200
City	:	MENLO PARK
State	:	CA
Zip	:	94025-4257
Country	:	US
Telephone Number	:	650-324-0056
Fax Number	:	650-324-1156

Provider Business Practice Location Address
First Line	:	900 WELCH ROAD
Second Line	:	STE 402
City	:	PALO ALTO
State	:	CA
Zip	:	94304-1804
Country	:	US
Telephone Number	:	650-324-0056
Fax Number	:	650-324-1156

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	06/01/2015

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