Provider Demographics
NPI:1013357755
Name:FRIEDHOFF, LAWRENCE T (MD, PHD, FACP)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:T
Last Name:FRIEDHOFF
Suffix:
Gender:M
Credentials:MD, PHD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 RIVERVALE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-6468
Mailing Address - Country:US
Mailing Address - Phone:201-321-7181
Mailing Address - Fax:201-722-0343
Practice Address - Street 1:338 E 5TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-8871
Practice Address - Country:US
Practice Address - Phone:201-321-7181
Practice Address - Fax:201-722-0343
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135727-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine