Provider Demographics
NPI:1588669311
Name:FRIEDMAN, SARI K (MD)
Entity Type:Individual
Prefix:DR
First Name:SARI
Middle Name:K
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-2513
Mailing Address - Country:US
Mailing Address - Phone:860-621-5520
Mailing Address - Fax:860-621-0864
Practice Address - Street 1:101 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-2513
Practice Address - Country:US
Practice Address - Phone:860-621-5520
Practice Address - Fax:860-621-0864
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT038220208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G77483Medicare UPIN