MEDICARE: DR. SARI K 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	208000000X	Pediatrics Physician	038220	CT

General Provider Information

NPI Number	:	1588669311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARI K FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	101 N MAIN ST
Second Line	:
City	:	SOUTHINGTON
State	:	CT
Zip	:	06489-2513
Country	:	US
Telephone Number	:	860-621-5520
Fax Number	:	860-621-0864

Provider Business Practice Location Address
First Line	:	101 N MAIN ST
Second Line	:
City	:	SOUTHINGTON
State	:	CT
Zip	:	06489-2513
Country	:	US
Telephone Number	:	860-621-5520
Fax Number	:	860-621-0864

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/08/2007

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