Provider Demographics
NPI:1477644334
Name:FRIEDMAN, NEIL JAY (MD)
Entity Type:Individual
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First Name:NEIL
Middle Name:JAY
Last Name:FRIEDMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1225 CRANE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4257
Mailing Address - Country:US
Mailing Address - Phone:650-324-0056
Mailing Address - Fax:650-324-1156
Practice Address - Street 1:900 WELCH ROAD
Practice Address - Street 2:STE 402
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1804
Practice Address - Country:US
Practice Address - Phone:650-324-0056
Practice Address - Fax:650-324-1156
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2015-06-01
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Provider Licenses
StateLicense IDTaxonomies
CAG084315207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G843150Medicaid
CA00G843150Medicaid
G33203Medicare UPIN