Friedman, Bruce Ira
Friedman, Bruce Ira is an sole proprietor health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Friedman, Bruce Ira can be contacted via phone (201) 996-5303.Contact Information
Primary practice address
30 Prospect Ave
Hackensack NJ 07601-1914
Phone: (201) 996-5303
Fax: (201) 996-0754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 50770 | New Jersey |
Profile Details
| NPI number | 1457480113 |
|---|---|
| LBN Legal business name | Friedman, Bruce Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457480113 | NPPES |
| New Jersey | MEDICAID | 0319805 |
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