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General NPI Number Information
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NPI Number | 1841249497
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Entity Type | Individual
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Provider Name | JERROLD A FRIEDMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 12/03/2025
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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 |
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Name |
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Credential |
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Telephone |
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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 | MD067120L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MA06914500
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License Number State | NJ
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