Provider Demographics
NPI:1487940342
Name:HOWARD FRIESEN MD INC
Entity type:Organization
Organization Name:HOWARD FRIESEN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIESEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-757-2250
Mailing Address - Street 1:1130 A ST
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-2356
Mailing Address - Country:US
Mailing Address - Phone:925-757-2250
Mailing Address - Fax:925-753-1397
Practice Address - Street 1:1130 A ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-2356
Practice Address - Country:US
Practice Address - Phone:925-757-2250
Practice Address - Fax:925-753-1397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty