MEDICARE: MR. EDWARD M FRIEDLER 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	0101039090	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	82671	OTHER	VA	OPTIMUM CHOICE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3797647 001	OTHER	VA	CIGNA
4	22671	OTHER	VA	MAMSI
5	503659	OTHER	VA	NCPPO
6	B682 0001	OTHER	VA	BLUE CROSS BLUE SHIELD
7	0100006	OTHER	VA	UNITED HEALTHCARE
8	4092050	OTHER	VA	AETNA

General Provider Information

NPI Number	:	1538161831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWARD M FRIEDLER M.D.

Provider Business Mailing Address
First Line	:	7617 LITTLE RIVER TPKE
Second Line	:	STE 710
City	:	ANNANDALE
State	:	VA
Zip	:	22003-2635
Country	:	US
Telephone Number	:	703-941-1732
Fax Number	:	703-941-2018

Provider Business Practice Location Address
First Line	:	7617 LITTLE RIVER TPKE
Second Line	:	STE 710
City	:	ANNANDALE
State	:	VA
Zip	:	22003-2635
Country	:	US
Telephone Number	:	703-941-1732
Fax Number	:	703-941-2018

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/25/2009

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Directions to “ MR. EDWARD M FRIEDLER M.D.” Practice Location

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