Individual
JACOB FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 W KLEIN RD, BUFFALO, NY 14221-1302
(914) 584-0298
Mailing address
28 W KLEIN RD, BUFFALO, NY 14221-1302
(914) 584-0298
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD495464
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
05/16/2026
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