Provider Demographics
NPI:1518182179
Name:FRIENDY, ANTHONY F (PA-C, MS)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:F
Last Name:FRIENDY
Suffix:
Gender:M
Credentials:PA-C, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3691 CRESCENT CT E
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3498
Practice Address - Country:US
Practice Address - Phone:610-434-9561
Practice Address - Fax:610-434-5122
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA002253L363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
858543037OtherREGENCE BCBS
WA8483877Medicaid
8944998OtherWA CRIME VICTIMS
0221722OtherWA L & I
S63319Medicare UPIN
8944998OtherWA CRIME VICTIMS