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Organization

ELLIOTT M. FRIEDEMAN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELLIOTT FRIEDEMAN M.D. (PRESIDENT)
(513) 721-1500
Entity
Organization

Contact information

Practice address
106 WELLINGTON PL, CINCINNATI, OH 45219-1710
(513) 721-1500
(513) 977-4894
Mailing address
106 WELLINGTON PL, CINCINNATI, OH 45219-1710

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35039251
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0669076
OH
Enumeration date
12/09/2012
Last updated
12/09/2012
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