Provider Demographics
NPI:1013022300
Name:FRIEDLANDER, ELIZABETH A (NP, PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:FRIEDLANDER
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Gender:F
Credentials:NP, PHD
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:BLAKE 4 GI ASSOCIATES
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-724-5346
Mailing Address - Fax:617-726-3080
Practice Address - Street 1:165 CAMBRIDGE ST
Practice Address - Street 2:GI ASSOCIATES AT CHARLES RIVER PLAZA, 9TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2783
Practice Address - Country:US
Practice Address - Phone:617-724-6038
Practice Address - Fax:617-726-3080
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2017-01-06
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Provider Licenses
StateLicense IDTaxonomies
MA152241363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0717312Medicaid
MA0717312Medicaid
MANP3976Medicare PIN