Individual
DR. THEODORE MARCUS FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 JOSEPH SIEWICK DR, DEPT OF PATHOLOGY, INOVA FAIR OAKS HOSPITAL, FAIRFAX, VA 22033-1709
(703) 391-3654
Mailing address
3600 JOSEPH SIEWICK DR, DEPT OF PATHOLOGY, INOVA FAIR OAKS HOSPITAL, FAIRFAX, VA 22033-1709
(703) 391-3654
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101249423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169935001
—
AR
Enumeration date
01/16/2008
Last updated
03/25/2015
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