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Individual

DR. DIANE E FRIEDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2019 GALISTEO ST, SUITE N9A, SANTA FE, NM 87505-2143
(505) 988-1930
(505) 982-9931
Mailing address
2019 GALISTEO ST, SUITE N9A, SANTA FE, NM 87505-2143
(505) 988-1930
(505) 982-9931

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99-200
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53199
PRESBYTERIAN
NM
05
54700833
NM
01
NM009P17
BLUE CROSS BLUE SHIELD
NM
Enumeration date
05/12/2006
Last updated
07/26/2011
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