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Individual

MITCHELL FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19 WOODLAND ST STE 35, HARTFORD, CT 06105-2335
(860) 525-1234
Mailing address
12-3 COUNTRYSIDE LN, MIDDLETOWN, CT 06457-6005
(203) 217-6876

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10040
CT

Other

Enumeration date
09/20/2021
Last updated
09/20/2021
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