Susan Ann Fried

NPI 1447410972 - Physician Assistant - 363AS0400X

NPI Details
NPI 1447410972
Gender Female
Enumeration Date 06/09/2008
Last Updated 09/23/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
200 MEDICAL PARK DR
SUITE 230
CONCORD NC, 28025-2982, US
Phone (704) 403-1349
Fax (704) 403-1159
Business Location
PO BOX 601067
CHARLOTTE NC, 28260-1067, US
Phone (704) 403-1349
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State New Jersey
License Number 25MP00177000
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According to our database, Susan Ann Fried NPI is 1447410972, taxonomy code is 363AS0400X and license number is 25MP00177000, license state is located at New Jersey. Susan Ann Fried physically located at 200 Medical Park Dr, Concord NC, 28025-2982. NPI Number Susan Ann Fried has the Individual type.

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1447410972 NPI number is provided on an as is basis without warranty of any kind. 1447410972 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Ann Fried are for informational purposes only.