Healthcare Provider Details

I. General information

NPI: 1811302367
Provider Name (Legal Business Name): ALEXANDER J FRIEDMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2014
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON SC
29425
US

IV. Provider business mailing address

3000 SAINT MATTHEWS RD
ORANGEBURG SC
29118-1442
US

V. Phone/Fax

Practice location:
  • Phone: 707-812-3792
  • Fax:
Mailing address:
  • Phone: 707-812-3792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number93957
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: