Provider Demographics
NPI:1487752978
Name:FRIEDBERG, DANIEL L (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:FRIEDBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 WINTON RD
Mailing Address - Street 2:SUITE# 103
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5916
Mailing Address - Country:US
Mailing Address - Phone:513-728-4763
Mailing Address - Fax:513-728-4763
Practice Address - Street 1:8250 WINTON RD
Practice Address - Street 2:SUITE# 103
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5916
Practice Address - Country:US
Practice Address - Phone:513-728-4763
Practice Address - Fax:513-728-4763
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35028186208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH12-20573OtherUHC INS.
OH635372OtherAETNA INS.
OH000000007519OtherANTHEM INS.
OH0113773Medicaid
OH000000007519OtherANTHEM INS.