Organization
AMY L FRIEDENTHAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY FRIEDENTHAL MD (PHYSICIAN)
(703) 497-5555
Entity
Organization
Contact information
Practice address
12512 LAKE RIDGE DR STE D, LAKE RIDGE, VA 22192-2386
(703) 497-5555
(703) 497-1479
Mailing address
12512 LAKE RIDGE DR STE D, LAKE RIDGE, VA 22192-2386
(703) 497-5555
(703) 497-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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