Individual
DR. LAWRENCE ELLIOT FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(215) 590-1000
(215) 590-1771
Mailing address
100 PENN SQUARE EAST, 9TH FLOOR NORTH TOWER, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD460835
PA
2084E0001X
Epilepsy Physician
MD460835
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD460835
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033085850001
—
PA
Enumeration date
04/06/2011
Last updated
03/18/2024
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