1629908165 NPI number — INABR CARLA FRIEDMAN M.B.B.CH.B.

Table of content: INABR CARLA FRIEDMAN M.B.B.CH.B. (NPI 1629908165)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629908165 NPI number — INABR CARLA FRIEDMAN M.B.B.CH.B.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRIEDMAN
Provider First Name:
INABR
Provider Middle Name:
CARLA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.B.B.CH.B.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629908165
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UCONN HEALTH GRADUATE MEDICAL EDUCATION
Provider Second Line Business Mailing Address:
263 FARMINGTON AVENUE
Provider Business Mailing Address City Name:
FARMINGTON
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06030-1921
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-679-2957
Provider Business Mailing Address Fax Number:
860-679-4624

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
WATERBURY HOSPITAL, 64 ROBBINS STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WATERBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06708-2708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-573-6162
Provider Business Practice Location Address Fax Number:
203-573-6707
Provider Enumeration Date:
05/19/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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