Amy L Friedenthal MD PC

NPI #1174722664 in Lake Ridge, Virginia

Provider Information

NPI Number: 1174722664
Entity Type: Organization
Organization Name: Amy L Friedenthal MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 13, 2007
Last Updated: Jul 13, 2007

Practice Location

Address: 12512 LAKE RIDGE DR STE D
City: Lake Ridge
State: Virginia
ZIP Code: 22192-2386
Phone: (703) 497-5555

Authorized Official

Name: DR. AMY FRIEDENTHAL, MD
Title: PHYSICIAN
Phone: (703) 497-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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