Individual
TERRY F KRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 STATE RD, WOODLAND CENTER, VINEYARD HAVEN, MA 02568-5695
(508) 696-9946
Mailing address
PO BOX 1380, WEST TISBURY, MA 02575-1380
(508) 696-9946
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
155754
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J21903
BLUE CROSS MA
MA
Enumeration date
05/02/2006
Last updated
02/06/2014
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