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NPI Code Detail

MEDICARE: SHIMA FRIEDMAN

MEDICARE:   SHIMA  FRIEDMAN
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1356911507
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIMA FRIEDMAN
Provider Business Mailing Address
First Line : 176 ARLINGTON AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W KENNEDY BLVD
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1254
Country : US
Telephone Number : 732-507-5553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2021
Last Update Date : 06/29/2021

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Directions to “ SHIMA FRIEDMAN ” Practice Location

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