MEDICARE: DR. BERNARD FRIEDMAN M.D.

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	207RP1001X	Pulmonary Disease Physician	25MA03620000	NJ

General Provider Information

NPI Number	:	1932190048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	100 WINSTON DRIVE
Second Line	:	APT 16J SOUTH
City	:	CLIFFSIDE PARK
State	:	NJ
Zip	:	07010
Country	:	US
Telephone Number	:	914-874-4463
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 PARK AVE
Second Line	:	MEDCARE
City	:	EAST RUTHERFORD
State	:	NJ
Zip	:	07073-1918
Country	:	US
Telephone Number	:	914-723-0746
Fax Number	:

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	10/24/2018

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