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NPI Code Detail

MEDICARE: DR. SAMUEL L. FRIEDMAN D.O.

MEDICARE:  DR. SAMUEL L. FRIEDMAN  D.O.
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
1208D00000XGeneral Practice Physician25MB02134500NJ

General Provider Information

NPI Number : 1558579631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL L. FRIEDMAN D.O.
Provider Business Mailing Address
First Line : 5000 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9263
Country : US
Telephone Number : 804-968-5700
Fax Number :
Provider Business Practice Location Address
First Line : 4000 ROUTE 130 BLDG C
Second Line :
City : DELRAN
State : NJ
Zip : 08075-2414
Country : US
Telephone Number : 856-705-0685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2007
Last Update Date : 06/23/2021

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Directions to “ DR. SAMUEL L. FRIEDMAN D.O.” Practice Location

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