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Individual

DR. MATTHEW FRIEDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1050 SULLIVAN AVE, STE B1, SOUTH WINDSOR, CT 06074-2000
(860) 644-3411
(860) 644-3346
Mailing address
1050 SULLIVAN AVE, STE B1, SOUTH WINDSOR, CT 06074-2000
(860) 644-3411
(860) 644-3346

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029446
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000035833
WELLCARE
CT
05
001294462
CT
01
00129446200
BLUE CARE FAMILY PLAN
CT
01
010029446CT01
ANTHEM BLUE SHIELD
CT
01
029446
CONNECTICARE
CT
01
0449971
US HEALTHCARE
CT
01
080032208
RAILROAD MEDICARE
CT
01
HAP369
OXFORD HEALTHPLANS
CT
01
OR2018
HEALTHNET
CT
Enumeration date
06/21/2005
Last updated
11/19/2009
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