Provider Demographics
NPI:1578521951
Name:FRIEDMAN, MARK D (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:D
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:70 NEW OCEAN ST
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1831
Mailing Address - Country:US
Mailing Address - Phone:781-581-7300
Mailing Address - Fax:781-581-1190
Practice Address - Street 1:70 NEW OCEAN ST
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1831
Practice Address - Country:US
Practice Address - Phone:781-581-7300
Practice Address - Fax:781-581-1190
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1452111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA043243520OtherHARVARD PILGRIM
MA4400309OtherUNITED HEALTHCARE IND.
MA732774OtherTUFTS INDIVIDUAL
MA043243520OtherCIGNA INDIVIDUAL
MA043243520OtherCHICKERING INDIVIDUAL
MA043243520OtherDEFINITY INDIVIDUAL
MA043243520OtherGIC INDEMNITY IND.
MA043243520OtherUS DEPARTMENT OF LABOR
MA781851OtherAETNA INDIVIDUAL
MA043243520OtherCIGNA INDIVIDUAL
MA4400309OtherUNITED HEALTHCARE IND.
MAY39401Medicare UPIN