Provider Demographics
NPI:1437157583
Name:FRIEDLAND, RICHARD J (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:J
Last Name:FRIEDLAND
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 1:4 PRINCESS RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2322
Mailing Address - Country:US
Mailing Address - Phone:609-895-0100
Mailing Address - Fax:609-895-6966
Practice Address - Street 1:4 PRINCESS RD
Practice Address - Street 2:SUITE 210
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2322
Practice Address - Country:US
Practice Address - Phone:609-895-0100
Practice Address - Fax:609-895-6966
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2012-09-18
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05015800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2267145-002OtherCIGNA
PA562011OtherPERSONAL CHOICE
NJ0383144001OtherAMERIHEALTH
NJMEP103OtherOXFORD
NJ223113997OtherHORIZON BCBS
NJ68K681OtherEMPIRE BLUE CROSS
NJ4096271OtherAETNA
NJ1K4079OtherHEALTHNET
NJ6845207Medicaid
NJ6845207Medicaid
NJ68K681OtherEMPIRE BLUE CROSS