Individual
DR. NEAL MATTHEW FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1399 WEIMER RD STE 200, TAOS, NM 87571-6349
(575) 758-2224
(575) 758-4903
Mailing address
1399 WEIMER RD STE 200, TAOS, NM 87571-6349
(575) 758-2224
(575) 758-4903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD015440E
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
78-162
NM
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD015440E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001850815
—
PA
01
—
100447
GEISINGER
PA
01
—
104974
JOHNS HOPKINS
PA
01
—
135681
UNISON-WMG
PA
01
—
1422472
HIGHMARK BLUE SHIELD
PA
01
—
1511872
GATEWAY-WMG
PA
01
—
20018068
AMERIHEALTH MERCY-WMG
PA
01
—
298755
MAMSI-WMG
PA
01
—
50018549
CAPITAL BLUE CROSS-WMG
PA
01
—
619020
CAREFIRST MD BCBS
MD
01
—
7285258
AETNA
PA
Enumeration date
07/05/2006
Last updated
10/14/2014
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