Individual
JONATHAN FRIEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE FL 9, BOSTON, MA 02215-3904
(617) 421-1191
(617) 421-5828
Mailing address
133 BROOKLINE AVE FL 9, BOSTON, MA 02215-3904
(617) 421-1191
(617) 421-5828
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
76366
MA
207VX0000X
Obstetrics Physician
Primary
76366
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076366
TUFTS HEALTH PLAN
MA
05
—
2069466
—
MA
01
—
2171697-002
CIGNA
MA
01
—
G380
HARVARD PILGRIM
MA
01
—
J31028
BLUE CROSS
MA
Enumeration date
07/24/2006
Last updated
01/06/2021
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