Provider Demographics
NPI:1881752335
Name:FRIEL, TIMOTHY P
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:P
Last Name:FRIEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 RUGBY AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3035
Mailing Address - Country:US
Mailing Address - Phone:301-652-9282
Mailing Address - Fax:301-652-7585
Practice Address - Street 1:4833 RUGBY AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3035
Practice Address - Country:US
Practice Address - Phone:301-652-9282
Practice Address - Fax:301-652-7585
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0350490001Medicare NSC