# JACKSON FRIEDMAN D.O .PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982844304
- **Authorized official:** JACKSON FRIEDMAN DO (PHYSICIAN)
- **Authorized official phone:** (808) 354-1698

## Contact information

- **Practice address:** 100 KEOKEA PL, KULA, HI 96790-7450
- **Practice address phone:** (808) 354-1698
- **Mailing address:** PO BOX 840, KULA, HI 96790-0840
- **Mailing address phone:** (808) 354-1698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 1397 | HI | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 237180 | NY | — |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 01/10/2020