Individual
JAY MAX FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1536 N 115TH ST, STE. 300, SEATTLE, WA 98133-8400
(206) 368-5457
(206) 368-0622
Mailing address
1536 N 115TH ST, STE. 300, SEATTLE, WA 98133-8400
(206) 368-5457
(206) 368-0622
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00030235
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06400
REGENCE INSURANCE ID NUM
WA
01
—
3840FR
REGENCE INSURANCE ID NUM
WA
01
—
39422
DEPT OF LABOR AND INDUSTR
WA
05
—
7089325
—
WA
01
—
FR2864
REGENCE INSURANCE ID NUM
WA
01
—
FR9432
REGENCE INSURANCE ID NUM
WA
Enumeration date
01/02/2007
Last updated
07/09/2007
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