Provider Demographics
NPI:1710935838
Name:FRIEZE, TODD WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:WILLIAM
Last Name:FRIEZE
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:PO BOX 110566
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-5566
Mailing Address - Country:US
Mailing Address - Phone:919-620-4855
Mailing Address - Fax:
Practice Address - Street 1:30 DUKE MEDICINE CIR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-4999
Practice Address - Country:US
Practice Address - Phone:919-684-3600
Practice Address - Fax:919-684-5743
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11352803-1205207RE0101X
NC2022-03100207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06408291Medicaid
MS06408291Medicaid
MS06408291Medicaid