Individual
JEFFREY MATHEW FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
225 BIG STATION CAMP BLVD STE 104, GALLATIN, TN 37066
(615) 328-6170
(615) 328-6187
Mailing address
2004 HAYES ST STE 800, NASHVILLE, TN 37203-2659
(615) 329-0570
(615) 329-0579
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
54399
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284164
NYS LICENSE
NY
05
—
7100616510
—
KY
01
—
J400318417
MEDICARE PTAN
NY
05
—
Q051040
—
TN
Enumeration date
07/12/2011
Last updated
09/13/2019
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