Provider Demographics
NPI:1750639472
Name:FRIEDMAN, MELVIN ROBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:ROBERT
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1740 MARCO POLO WAY
Mailing Address - Street 2:SUITE #5
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010
Mailing Address - Country:US
Mailing Address - Phone:650-259-0603
Mailing Address - Fax:650-259-0769
Practice Address - Street 1:1740 MARCO POLO WAY
Practice Address - Street 2:SUITE #5
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010
Practice Address - Country:US
Practice Address - Phone:650-259-0603
Practice Address - Fax:650-259-0769
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5113207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine