MEDICARE: ALAN STANLEY 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
1	2085R0202X	Diagnostic Radiology Physician	25MA03432800	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00793701	OTHER	NJ	RAILROAD MEDICARE
3	P00847767	OTHER	NJ	RAILROAD MEDICARE
4	300081012	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1982617312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN STANLEY FRIEDMAN MD

Provider Business Mailing Address
First Line	:	72 W JIMMIE LEEDS RD
Second Line	:	SUITE 1100
City	:	GALLOWAY
State	:	NJ
Zip	:	08205-9406
Country	:	US
Telephone Number	:	609-677-9729
Fax Number	:	609-652-7153

Provider Business Practice Location Address
First Line	:	3100 HINGSTON AVE
Second Line	:	STE 102
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-4409
Country	:	US
Telephone Number	:	609-677-9729
Fax Number	:	609-652-6270

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	11/22/2011

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