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Individual
DR. CHARLES R FRIEND
Active
Individual
DR. CHARLES R FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001804A
IN
207Q00000X
Family Medicine Physician
OS10246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000371599
ANTHEM
IN
01
—
000000891732
ANTHEM
IN
01
—
14150
BCBS
FL
05
—
200528320
—
IN
05
—
201246920
—
IN
05
—
280728900
—
FL
01
—
5517084
AETNA
FL
01
—
P01368092
RAIL ROAD MEDICARE
IN
Enumeration date
07/28/2006
Last updated
08/09/2024
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