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Organization

PACIFIC RETINA SPECIALISTS, PS

Active
Other names
Jay M. Friedman, M.D., P.S.
Organization subpart
No

Provider details

NPI number
Authorized official
JAY MAX FRIEDMAN M.D. (PRESIDENT)
(206) 368-5457
Entity
Organization

Contact information

Practice address
1536 N 115TH ST, SUITE 300, SEATTLE, WA 98133-8400
(206) 368-5457
(206) 368-0622
Mailing address
PO BOX 34935, DEPT 66, SEATTLE, WA 98124-1935
(206) 368-5457
(206) 368-0622

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0138953
WA DEPT OF LABOR & INDUST
WA
05
7097249
WA
Enumeration date
12/31/2006
Last updated
02/23/2010
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