| Organization Name: | JACKSON FRIEDMAN D.O .PLLC |
| NPI Number: | 1982844304 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACKSON FRIEDMAN (PHYSICIAN) |
| Mailing Address: | 8079 Kula Hwy Kula |
| State: | HI US |
| Postal Code: | 967907409 |
| Phone Number: | 8083541698 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2009 |
| NPI Last Update Date: | 05/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 237180 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |