Individual
DR. SCOTT A. TRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 N MAIN ST, PROVIDENCE, RI 02904-5707
(401) 521-9700
(401) 751-1686
Mailing address
PO BOX 54589, LOS ANGELES, CA 90054-0589
(508) 941-7450
(508) 941-6205
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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