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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316056245 | NPPES |
| Texas | MEDICAID | 347245801 (MDACC) |
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