Healthcare Provider Details

I. General information

NPI: 1780654822
Provider Name (Legal Business Name): OREN FRIEDMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 DERWEN RD
BALA CYNWYD PA
19004-2709
US

IV. Provider business mailing address

129 DERWEN RD
BALA CYNWYD PA
19004-2709
US

V. Phone/Fax

Practice location:
  • Phone: 215-663-3223
  • Fax: 215-941-1446
Mailing address:
  • Phone: 215-663-3223
  • Fax: 215-941-1446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD418361
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: