Provider Demographics
NPI:1558525915
Name:FRIEDLAND, BERNARD (BCHD MSC)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:FRIEDLAND
Suffix:
Gender:M
Credentials:BCHD MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:188 LONGWOOD AVENUE
Mailing Address - Street 2:HARVARD SCHOOL OF DENTAL MEDICINE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5819
Mailing Address - Country:US
Mailing Address - Phone:617-432-4295
Mailing Address - Fax:617-432-2463
Practice Address - Street 1:188 LONGWOOD AVENUE
Practice Address - Street 2:HARVARD SCHOOL OF DENTAL MEDICINE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5819
Practice Address - Country:US
Practice Address - Phone:617-432-4295
Practice Address - Fax:617-432-2463
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA99531223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology