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NPI Code Detail

MEDICARE: MR. CHRISTOPHER R FRIEDLANDER LCSW

MEDICARE: MR. CHRISTOPHER R FRIEDLANDER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC05236900NJ

General Provider Information

NPI Number : 1336180819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER R FRIEDLANDER LCSW
Provider Business Mailing Address
First Line : 112 GROVE ST
Second Line :
City : MAHWAH
State : NJ
Zip : 07430-1214
Country : US
Telephone Number : 201-684-0336
Fax Number :
Provider Business Practice Location Address
First Line : 301 SICOMAC AVE
Second Line :
City : WYCKOFF
State : NJ
Zip : 07481-2159
Country : US
Telephone Number : 201-848-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/08/2007

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