Provider Demographics
NPI:1538161831
Name:FRIEDLER, EDWARD M (MD)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:M
Last Name:FRIEDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7617 LITTLE RIVER TPKE
Mailing Address - Street 2:STE 710
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2635
Mailing Address - Country:US
Mailing Address - Phone:703-941-1732
Mailing Address - Fax:703-941-2018
Practice Address - Street 1:7617 LITTLE RIVER TPKE
Practice Address - Street 2:STE 710
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2635
Practice Address - Country:US
Practice Address - Phone:703-941-1732
Practice Address - Fax:703-941-2018
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101039090207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA82671OtherOPTIMUM CHOICE
VA005671019Medicaid
VA3797647 001OtherCIGNA
VA22671OtherMAMSI
VA503659OtherNCPPO
VAB682 0001OtherBLUE CROSS BLUE SHIELD
VA0100006OtherUNITED HEALTHCARE
VA4092050OtherAETNA
VAB682 0001OtherBLUE CROSS BLUE SHIELD
VA005671019Medicaid