Doctor Name: | HARRY DAVID FRIEDMAN |
NPI Number: | 1881866812 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 20A5876 |
Business Practice Address: | 3097 Moorpark Ave Suite 102 San Jose, CA - 951282543 |
Business Phone Number: | 4082471169 |
Business Fax Number: | 4083005076 |
Mailing Address: | 3097 Moorpark Avenue, Suite 102 SAN JOSE |
State: | CA |
Postal Code: | 95128 |
Phone Number: | 4082471169 |
Fax Number: | 4083005076 |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 10/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A5876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |