Individual
DR. ALLEN PAUL FRIEDENSTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 37TH ST STE C101, VERO BEACH, FL 32960-7301
(772) 562-6566
(772) 562-6570
Mailing address
777 37TH ST STE C101, VERO BEACH, FL 32960-7301
(772) 562-6566
(772) 562-6570
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME46913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160040632
RAILROAD MEDICARE
FL
01
—
62613
BLUE CROSS BLUE SHEILD
FL
01
—
K0449
MEDICARE GROUP NUMBER
FL
Enumeration date
01/26/2006
Last updated
05/21/2020
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