MEDICARE: STEWART J 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	207V00000X	Obstetrics & Gynecology Physician	ME133614	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7JWLO	OTHER	FL	BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568454015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEWART J FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	800 CLEMATIS ST STE 5-531
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5107
Country	:	US
Telephone Number	:	561-671-4043
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 SOUTHWINDS DR
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462
Country	:	US
Telephone Number	:	561-547-6800
Fax Number	:	561-547-6865

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	02/13/2019

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