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General NPI Number Information
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NPI Number | 1619034212
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Entity Type | Organization
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Legal Business Name | JERALD N FRIEDMAN MD PC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2531 NORTHAMPTON STREET
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City | EASTON
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State | PA
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Zip | 18045
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Country | US
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Telephone | 610-250-0800
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Fax | 610-250-7802
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Provider Business Mailing Address
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Address Line | 2531 NORTHAMPTON STREET
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City | EASTON
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State | PA
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Zip | 18045
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Country | US
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Telephone | 610-250-0800
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Fax | 610-250-7802
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Authorized Official
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Title or Position | PRESIDENT
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Name | JERALD FRIEDMAN
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Credential | MD
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Telephone | 610-250-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD0094515E
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License Number State | PA
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