Individual
COREY FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 686-0314
Mailing address
535 HARRISON AVE APT A506, BOSTON, MA 02118-4419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000394
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2023
Last updated
10/08/2024
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