Provider Demographics
NPI:1528147196
Name:FRIED, D. CLARE (MD)
Entity type:Individual
Prefix:DR
First Name:D.
Middle Name:CLARE
Last Name:FRIED
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1400 PELHAM PKWY S
Mailing Address - Street 2:RM 8W-14, BUILDING 1, JMC
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1138
Mailing Address - Country:US
Mailing Address - Phone:718-918-4576
Mailing Address - Fax:718-918-6460
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:RM 8W-14, BUILDING 1, JMC
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:718-918-4576
Practice Address - Fax:718-918-6460
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2009-03-09
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Provider Licenses
StateLicense IDTaxonomies
NY1488222080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine