MEDICARE: MIREL FRAYDY 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
1	225100000X	Physical Therapist	40QA01816500	NJ

General Provider Information

NPI Number	:	1871068627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIREL FRAYDY FRIEDMAN

Provider Business Mailing Address
First Line	:	2323 CRYSTAL MILE CT
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1464
Country	:	US
Telephone Number	:	917-613-3256
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 CRYSTAL MILE CT
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755
Country	:	US
Telephone Number	:	917-613-3258
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2018
Last Update Date	:	03/18/2026

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Directions to “ MIREL FRAYDY FRIEDMAN ” Practice Location

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