Individual
STANLEY IRA FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
014750
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001147503
—
CT
05
—
004235900
—
CT
Enumeration date
11/09/2005
Last updated
12/14/2011
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