Provider Demographics
NPI:1477549632
Name:FRIEDMAN, JOSEPH H (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:H
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:345 BLACKSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4800
Mailing Address - Country:US
Mailing Address - Phone:401-455-6669
Mailing Address - Fax:401-455-6670
Practice Address - Street 1:345 BLACKSTONE BLVD
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4800
Practice Address - Country:US
Practice Address - Phone:401-455-6669
Practice Address - Fax:401-455-6670
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI059762084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1477549632OtherNPT
RI9006080Medicaid
RI1240OtherNEIGHBORHOOD HEALTH
RI072735OtherTUFTS
RITRICAREOther050513332
RI050513332OtherUNITED HEALTHCARE
RI050513332OtherOXFORD
RI3945882OtherAETNA
RI000834OtherBLUE CHIP
RI0186741OtherPEQUOT
RIAA29795OtherPILGRIM
RIAA29795OtherPILGRIM
RI050513332OtherUNITED HEALTHCARE