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Individual

KEITH FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10710 CHARTER DR, SUITE 400, COLUMBIA, MD 21044-2858
(410) 997-7979
(410) 997-9231
Mailing address
10710 CHARTER DR STE 400, COLUMBIA, MD 21044-3276
(410) 997-7979
(410) 997-9231

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D56645
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0061936
AETNA
MD
05
401445600
MD
01
609347-05
CAREFIRST OF MARYLAND
MD
01
P00908266
RAILROAD MEDICARE
MD
01
V879-0007
CAREFIRST GHMSI AND BLUE CHOICE
MD
Enumeration date
03/09/2006
Last updated
10/10/2025
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