Individual
TERRI R FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR, NEW HAVEN, CT 06519-1304
(203) 688-6361
(203) 688-4209
Mailing address
50 DIVISION ST, NEW HAVEN, CT 06511-1936
(203) 785-6610
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
034622
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
034622
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001346221
—
CT
Enumeration date
11/23/2005
Last updated
12/15/2021
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