Provider Demographics
NPI:1336109164
Name:FRIEHLING, JANE S (DO)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:S
Last Name:FRIEHLING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 LIPPINCOTT DRIVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-983-1900
Mailing Address - Fax:856-983-5110
Practice Address - Street 1:406 LIPPINCOTT DRIVE
Practice Address - Street 2:SUITE E
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-983-1900
Practice Address - Fax:856-983-5110
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ03676600207RG0100X
NJMB03676600207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0759503Medicaid
NJ769503Medicaid
NJ0759503Medicaid
NJD19578Medicare UPIN
NJ151959A7RMedicare ID - Type Unspecified
NJ769503Medicaid