Individual
DR. AMY LYN FRIEDENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125120 D LAKERIDGE DRIVE, WOODBRIDGE, VA 22192
(703) 497-5555
(703) 497-1479
Mailing address
125120 D LAKERIDGE DRIVE, WOODBRIDGE, VA 22192
(703) 497-5555
(703) 684-6311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101047502
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004666397
AETNA
VA
05
—
010031427
—
VA
01
—
267008
BLUE CROSS - ANTHEM
VA
Enumeration date
03/26/2007
Last updated
06/25/2010
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