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NPI Code Detail

MEDICARE: DR. GLENN T FRIEDMAN MD

MEDICARE: DR. GLENN T FRIEDMAN 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
1207RC0000XCardiovascular Disease Physician25MA045466NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053384305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLENN T FRIEDMAN MD
Provider Business Mailing Address
First Line : 225 JACKSON STREET
Second Line :
City : BRIDGEWATER
State : NJ
Zip : 08807-3060
Country : US
Telephone Number : 908-526-8668
Fax Number : 908-231-6781
Provider Business Practice Location Address
First Line : 225 JACKSON STREET
Second Line :
City : BRIDGEWATER
State : NJ
Zip : 08807-3060
Country : US
Telephone Number : 908-526-8668
Fax Number : 908-231-6781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 08/06/2012

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Directions to “ DR. GLENN T FRIEDMAN MD” Practice Location

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