Friedman, Gary S

Friedman, Gary S is an individual health care provider with primary practice located at 1500 Pleasant Valley Way Suite 203, West Orange NJ 07052-2956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Friedman, Gary S can be contacted via phone (973) 325-8080.

Contact Information

Primary practice address
1500 Pleasant Valley Way Suite 203 West Orange NJ 07052-2956
Phone: (973) 325-8080
Fax: (973) 325-1120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA52649 New Jersey

Profile Details

NPI number 1952393431
LBN Legal business name Friedman, Gary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Nov 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952393431 NPPES
New Jersey MEDICAID 6073603

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