Provider Demographics
NPI:1629242565
Name:DRS FRIEDMAN AND PLOTSKY PC
Entity Type:Organization
Organization Name:DRS FRIEDMAN AND PLOTSKY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEIDRA
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-362-4545
Mailing Address - Street 1:650 PENN AVE SE STE 270
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4347
Mailing Address - Country:US
Mailing Address - Phone:202-544-1980
Mailing Address - Fax:202-244-8028
Practice Address - Street 1:650 PENN AVE SE STE 270
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4347
Practice Address - Country:US
Practice Address - Phone:202-544-1980
Practice Address - Fax:202-244-8028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD4794207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCC61744Medicare UPIN
DC429525Medicare PIN