Provider Demographics
NPI:1306823471
Name:FRIEDLAND, ALLEN R (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:R
Last Name:FRIEDLAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4735 OGLETOWN STANTON RD
Mailing Address - Street 2:STE 1250
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2076
Mailing Address - Country:US
Mailing Address - Phone:302-623-0260
Mailing Address - Fax:302-623-0267
Practice Address - Street 1:200 HYGEIA DR
Practice Address - Street 2:UNIT D
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2049
Practice Address - Country:US
Practice Address - Phone:302-623-0100
Practice Address - Fax:302-623-0147
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2017-08-25
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Provider Licenses
StateLicense IDTaxonomies
DEC10005316207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG71365Medicare UPIN
DE017331C90Medicare PIN