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General NPI Number Information
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NPI Number | 1417907676
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Entity Type | Organization
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Legal Business Name | JERROLD FRIEDMAN, M.D. LLC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 123 CHESTNUT ST STE 204
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3051
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Country | US
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Telephone | 215-627-3782
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Fax | 215-627-3695
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Provider Business Mailing Address
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Address Line | PO BOX 1272
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-7272
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Country | US
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Telephone | 856-383-4009
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Fax |
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Authorized Official
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Title or Position | SELF
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Name | JERROLD FRIEDMAN
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Credential | MD
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Telephone | 856-912-3754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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