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NPI Code Detail

MEDICARE: DR. MARK JOEL FRIEDMAN MD

MEDICARE: DR. MARK JOEL 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
1207RC0000XCardiovascular Disease Physician8918AZ
2207R00000XInternal Medicine Physician8918AZ

Other Identifiers

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

General Provider Information

NPI Number : 1649279902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK JOEL FRIEDMAN MD
Provider Business Mailing Address
First Line : UNIVERSITY OF ARIZONA HEALTH NETWORK
Second Line : 1501 N. CAMPBELL AVE.
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number : 520-629-2763
Fax Number : 520-626-0967
Provider Business Practice Location Address
First Line : UNIVERSITY OF ARIZONA HEALTH NETWORK
Second Line : 1501 N. CAMPBELL AVE.
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number : 520-629-2763
Fax Number : 520-626-0967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 02/01/2012

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