MEDICARE: DR. JOSEPH RAYMOND FRIEDLANDER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MA45842	NJ
2	207R00000X	Internal Medicine Physician	25MA04584200	NJ

General Provider Information

NPI Number	:	1033106117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH RAYMOND FRIEDLANDER MD

Provider Business Mailing Address
First Line	:	786 OAK AVE
Second Line	:
City	:	RIVER EDGE
State	:	NJ
Zip	:	07661-2222
Country	:	US
Telephone Number	:	201-923-8193
Fax Number	:	551-236-2478

Provider Business Practice Location Address
First Line	:	786 OAK AVE
Second Line	:
City	:	RIVER EDGE
State	:	NJ
Zip	:	07661-2222
Country	:	US
Telephone Number	:	201-923-8193
Fax Number	:	551-236-2478

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	03/26/2021

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