Individual ProviderMary FriarRadiologyAllopathic & Osteopathic PhysiciansPractice Address97 Barnes Rd, Wallingford, CT 06492-1885(203) 949-2700PECOS EnrollmentBased on the most recent information from CMS, provider Mary Friar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1891779781Provider TypeIndividualFull NameFriar, MaryCredentialM.D.GenderFemaleEnumeration Date12/4/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address97 Barnes Rd, Wallingford, CT 06492-1885Phone(203) 949-2700Fax(203) 949-2712Mailing LocationMailing Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360Phone(203) 949-2700Fax(203) 949-2712Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense028911Connecticut