Individual
STUART A. FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3998 RED LION RD, EMERGENCY MEDICINE, PHILADELPHIA, PA 19114-1436
(215) 612-4963
(215) 612-4532
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 612-4532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS003575L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007014450009
—
PA
05
—
0007014450011
—
PA
05
—
0007014450017
—
PA
01
—
0062027000
KEYSTONE,IBC
PA
01
—
00701445-02
AMERICHOICE-TORRESDALE
PA
01
—
00701445-03
AMERICHOICE-BUCKS DIV
PA
01
—
00701445-04
AMERICHOICE-FRANKFORD
PA
01
—
07645
HEALTH PARTNERS
PA
01
—
1089627
KEYSTONE MERCY
PA
01
—
151021
HIGHMARK BLUE SHIELD
PA
01
—
20037795
AMERIHEALTH MERCY
PA
01
—
452729
AETNA CONTRACT
PA
01
—
5653790
CIGNA
PA
01
—
930010853
RAILROAD MEDICARE
PA
01
—
PA0028949
TRICARE
PA
Enumeration date
12/20/2006
Last updated
01/08/2015
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