Doctor Name: | DR. ROGER LEE FRIEDMAN |
NPI Number: | 1205899887 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 36002311 |
Business Practice Address: | 5321 Meadow Lane Ct Suite 22 Sheffield Village, OH - 440350600 |
Business Phone Number: | 4409348444 |
Business Fax Number: | 4409348447 |
Mailing Address: | 5321 Meadow Lane Ct, Suite 22 SHEFFIELD VILLAGE |
State: | OH |
Postal Code: | 440350600 |
Phone Number: | 4409348444 |
Fax Number: | 4409348447 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 12/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 36002311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |