Provider Demographics
NPI:1669688115
Name:FRIEDMAN, JOEL ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ANDREW
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:350 PULEHUIKI RD
Mailing Address - Street 2:PO BOX 606
Mailing Address - City:KULA
Mailing Address - State:HI
Mailing Address - Zip Code:96790-8400
Mailing Address - Country:US
Mailing Address - Phone:808-878-3545
Mailing Address - Fax:808-878-3535
Practice Address - Street 1:350 PULEHUIKI RD
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-8400
Practice Address - Country:US
Practice Address - Phone:808-878-3545
Practice Address - Fax:808-878-3535
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI62332081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine