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Individual
JOHN TRIEDMAN
Active
Individual
JOHN TRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70701
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
70701
MA
2080P0202X
Pediatric Cardiology Physician
70701
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103111
—
MA
05
—
JT03707
—
RI
01
—
MD12260
LICENSE
RI
Enumeration date
02/01/2006
Last updated
10/02/2020
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