Provider Demographics
NPI:1093900508
Name:FRIEDMAN, YORAM SAUL (OD)
Entity Type:Individual
Prefix:DR
First Name:YORAM
Middle Name:SAUL
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08805-2018
Mailing Address - Country:US
Mailing Address - Phone:908-685-5900
Mailing Address - Fax:908-685-5964
Practice Address - Street 1:225 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805-2018
Practice Address - Country:US
Practice Address - Phone:908-685-5900
Practice Address - Fax:908-685-5964
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00611400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist