Provider Demographics
NPI:1669451514
Name:FRIEDMAN, ROBB SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:ROBB
Middle Name:SCOTT
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 BROOKLINE AVE
Mailing Address - Street 2:HEMATOLOGY-ONCOLOGY DEPT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3904
Mailing Address - Country:US
Mailing Address - Phone:617-421-5950
Mailing Address - Fax:617-421-6008
Practice Address - Street 1:133 BROOKLINE AVE
Practice Address - Street 2:HEMATOLOGY - ONCOLOGY DEPT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-5950
Practice Address - Fax:617-421-6008
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221819207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110075540AMedicaid
MAA3883102Medicare PIN