Provider Demographics
NPI:1245428218
Name:MICHAEL H FRIEDMAN, MD
Entity Type:Organization
Organization Name:MICHAEL H FRIEDMAN, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-241-2800
Mailing Address - Street 1:127 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-2275
Mailing Address - Country:US
Mailing Address - Phone:908-241-2800
Mailing Address - Fax:
Practice Address - Street 1:127 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2275
Practice Address - Country:US
Practice Address - Phone:908-241-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ181103614OtherPALMETTO RAILROAD MEDICAR
NJ181103614OtherPALMETTO RAILROAD MEDICAR