Friedstat, Jonathan Seth

Friedstat, Jonathan Seth is an individual health care provider with primary practice located at 55 Fruit Street Grb 1303, Frasier Outpatient Burn Center, Boston MA 02114. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Friedstat, Jonathan Seth can be contacted via phone (617) 726-3712.

Contact Information

Primary practice address
55 Fruit Street Grb 1303, Frasier Outpatient Burn Center Boston MA 02114
Phone: (617) 726-3712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ML20008564 Washington
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 246710 Massachusetts
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X Q2768 Texas

Profile Details

NPI number 1316056245
LBN Legal business name Friedstat, Jonathan Seth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 9th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316056245 NPPES
Texas MEDICAID 347245801 (MDACC)

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