Friedes, Jonathan
Friedes, Jonathan is an individual health care provider with primary practice located at 133 Brookline Ave Fl 9 , Boston MA 02215-3904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Friedes, Jonathan can be contacted via phone (617) 421-1191.Contact Information
Primary practice address
133 Brookline Ave Fl 9
Boston MA 02215-3904
Phone: (617) 421-1191
Fax: (617) 421-5828
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 76366 | Massachusetts |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 76366 | Massachusetts |
Profile Details
NPI number | 1780606160 |
---|---|
LBN Legal business name | Friedes, Jonathan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | Jan 6th, 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 | 1780606160 | NPPES |
Massachusetts | Other | 076366 | TUFTS HEALTH PLAN |
Massachusetts | MEDICAID | 2069466 | TUFTS HEALTH PLAN |
Massachusetts | Other | J31028 | TUFTS HEALTH PLAN |
Massachusetts | Other | G380 | TUFTS HEALTH PLAN |
Massachusetts | Other | 2171697-002 | TUFTS HEALTH PLAN |
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