Provider Demographics
NPI:1033106117
Name:FRIEDLANDER, JOSEPH RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAYMOND
Last Name:FRIEDLANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:786 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-2222
Mailing Address - Country:US
Mailing Address - Phone:201-923-8193
Mailing Address - Fax:551-236-2478
Practice Address - Street 1:786 OAK AVE
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-2222
Practice Address - Country:US
Practice Address - Phone:201-923-8193
Practice Address - Fax:551-236-2478
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA45842207R00000X
NJ25MA04584200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJFR111288Medicare ID - Type UnspecifiedMEDICARE #
NJC53322Medicare UPIN