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Individual
JONATHAN FRIEDES
Active
Individual
JONATHAN FRIEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
76366
MA
207VX0000X
Obstetrics Physician
Primary
76366
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076366
TUFTS HEALTH PLAN
MA
05
—
2069466
—
MA
01
—
2171697-002
CIGNA
MA
01
—
G380
HARVARD PILGRIM
MA
01
—
J31028
BLUE CROSS
MA
Enumeration date
07/24/2006
Last updated
01/06/2021
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