Fried, Terri R
Fried, Terri R is an individual health care provider with primary practice located at 789 Howard Ave Dana Building - 3Rd Floor, New Haven CT 06519-1304. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Fried, Terri R can be contacted via phone (203) 688-6361.Contact Information
Primary practice address
789 Howard Ave Dana Building - 3Rd Floor
New Haven CT 06519-1304
Phone: (203) 688-6361
Fax: (203) 688-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 034622 | Connecticut |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 034622 | Connecticut |
Profile Details
| NPI number | 1902889835 |
|---|---|
| LBN Legal business name | Fried, Terri R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Dec 15th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902889835 | NPPES |
| Connecticut | MEDICAID | 001346221 |
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