Individual
DR. SCOTT A. TRIEDMAN
Active
Individual
DR. SCOTT A. TRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
07736
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081567A
—
MA
05
—
2164566
—
MA
01
—
300020526
RR MEDICARE
RI
05
—
7000161
—
RI
05
—
7009934
—
RI
Enumeration date
05/24/2005
Last updated
06/01/2015
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