Provider Demographics
NPI:1841201167
Name:FRIEDNASH, MARTI M (MD)
Entity Type:Individual
Prefix:
First Name:MARTI
Middle Name:M
Last Name:FRIEDNASH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5220 S ULSTER ST
Mailing Address - Street 2:APT 2221
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:720-355-4088
Mailing Address - Fax:
Practice Address - Street 1:8200 E BELLEVIEW AVE
Practice Address - Street 2:SUITE 200C
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2803
Practice Address - Country:US
Practice Address - Phone:303-770-3376
Practice Address - Fax:303-248-3159
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2016-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COBF5049831207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COG50128Medicare UPIN
CO804477Medicare ID - Type Unspecified