NPI 1720061427 · live from the CMS NPI Registry
Robert M Friedman, MD
Dermatology in Willimantic, CT. National Provider Identifier 1720061427, active.
NPI record
| NPI | 1720061427 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 132 Mansfield Ave, Ste 114, Willimantic, CT 06226 |
| Practice phone | 860-456-2267 |
| Enumerated | November 28, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 15231 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.