| Adult Internal Medicine Of North Scottsdale, Ltd | |
|
10290 N 92nd St Suite 203 Scottsdale AZ 85258-4522 | |
| (480) 391-0707 | |
| (480) 391-0302 |
| Full Name | Adult Internal Medicine Of North Scottsdale, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 10290 N 92nd St, Scottsdale, Arizona |
| Authorized Official Name and Position | Jay S Friedman (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4803910707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Internal Medicine Of North Scottsdale, Ltd 10290 N 92nd St Suite 203 Scottsdale AZ 85258-4522 Ph: (480) 391-0707 | Adult Internal Medicine Of North Scottsdale, Ltd 10290 N 92nd St Suite 203 Scottsdale AZ 85258-4522 Ph: (480) 391-0707 |
| NPI Number | 1518902618 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 10/05/2010 |
| Medicare PECOS PAC ID | 8820073208 |
|---|---|
| Medicare Enrollment ID | O20101006000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518902618 | NPI | - | NPPES |
| AZ0723770 | Other | AZ | BC&BS PROVIDER NUMBER |
| 110233861 | Other | AZ | RAILROAD MEDICARE PROVIDE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A15319 (Arizona) | Primary |
| Provider Name | Jay Scott Friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821163825 PECOS PAC ID: 0042402208 Enrollment ID: I20101012000234 |
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