Organization
JACKSON FRIEDMAN D.O .PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON FRIEDMAN DO (PHYSICIAN)
(808) 354-1698
Entity
Organization
Contact information
Practice address
100 KEOKEA PL, KULA, HI 96790-7450
(808) 354-1698
Mailing address
PO BOX 840, KULA, HI 96790-0840
(808) 354-1698
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1397
HI
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
237180
NY
Other
Enumeration date
02/25/2009
Last updated
01/10/2020
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