# JOHN TRIEDMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225009632
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 70701 | MA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 70701 | MA | Yes |
| 2080P0202X | Pediatric Cardiology Physician | 70701 | MA | — |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 10/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3103111 | — | MA |
| 05 | — | JT03707 | — | RI |
| 01 | — | MD12260 | LICENSE | RI |