Individual
ROTEM FRIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 SOUTH 54TH STREET, PHILADELPHIA, PA 19143-1900
(215) 748-9000
Mailing address
DEPT 4931, CAROL STREAM, IL 60122-4931
(866) 540-5303
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD421881
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014579300005
—
PA
05
—
1011308350001
—
PA
01
—
1629003
HIGHMARK BLUE SHIELD
PA
01
—
30019161
KEYSTONE MERCY
PA
01
—
34928MD421881
HEALTH PARTNERS
PA
Enumeration date
05/08/2006
Last updated
03/14/2008
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