Friedrich, Ivan A

Friedrich, Ivan A is an individual health care provider with primary practice located at 420 Grand Ave Suite 101, Englewood NJ 07631-4152. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Friedrich, Ivan A can be contacted via phone (201) 569-7044.

Contact Information

Primary practice address
420 Grand Ave Suite 101 Englewood NJ 07631-4152
Phone: (201) 569-7044
Fax: (201) 569-1999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA03997000 New Jersey

Profile Details

NPI number 1306890165
LBN Legal business name Friedrich, Ivan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Apr 16th, 2008 - about 16 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 1306890165 NPPES
New Jersey MEDICAID 1909509
New Jersey Other 2400476
New Jersey Other 41A321
New Jersey Other BS237
New Jersey Other 60832
New Jersey Other OK2491

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