Individual
DR. GAY L FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 NESHAMINY INTERPLEX, 113, TREVOSE, PA 19053-6964
(215) 245-1260
(215) 245-1560
Mailing address
2001 BUTTERFIELD RD, SUITE 300, DOWNERS GROVE, IL 60515-1069
(630) 725-2730
(844) 205-5691
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD441084
PA
208600000X
Surgery Physician
MD441084
PA
2086S0129X
Vascular Surgery Physician
Primary
MD441084
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144218579
INDIVIDUAL NPI
PA
01
—
199957ZAAQ
GROUP MEMBER PTAN
PA
05
—
8547700
—
NJ
Enumeration date
10/10/2005
Last updated
04/11/2017
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