Healthcare Provider Details

I. General information

NPI: 1033106117
Provider Name (Legal Business Name): JOSEPH RAYMOND FRIEDLANDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

786 OAK AVE
RIVER EDGE NJ
07661-2222
US

IV. Provider business mailing address

786 OAK AVE
RIVER EDGE NJ
07661-2222
US

V. Phone/Fax

Practice location:
  • Phone: 201-923-8193
  • Fax: 551-236-2478
Mailing address:
  • Phone: 201-923-8193
  • Fax: 551-236-2478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA45842
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA04584200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: