Provider Demographics
NPI:1881866812
Name:FRIEDMAN, HARRY DAVID (DO)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:DAVID
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3097 MOORPARK AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128
Mailing Address - Country:US
Mailing Address - Phone:408-247-1169
Mailing Address - Fax:408-300-5076
Practice Address - Street 1:3097 MOORPARK AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2543
Practice Address - Country:US
Practice Address - Phone:408-247-1169
Practice Address - Fax:408-300-5076
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5876208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice