MEDICARE: IRA RAY FRIEDLANDER 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	207R00000X	Internal Medicine Physician	25497	NC
2	207RC0000X	Cardiovascular Disease Physician	25497	NC

General Provider Information

NPI Number	:	1720067788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRA RAY FRIEDLANDER MD

Provider Business Mailing Address
First Line	:	PO BOX 19305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28219-9305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	447 MCALISTER RD
Second Line	:	STE 3200
City	:	LINCOLNTON
State	:	NC
Zip	:	28092-4114
Country	:	US
Telephone Number	:	980-212-6300
Fax Number	:

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	07/16/2024

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