Provider Demographics
NPI:1437323771
Name:FRIEDBERG, E (MD)
Entity Type:Individual
Prefix:
First Name:E
Middle Name:
Last Name:FRIEDBERG
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 1:151 E PALISADE AVE
Mailing Address - Street 2:APT #A9
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2248
Mailing Address - Country:US
Mailing Address - Phone:201-871-4778
Mailing Address - Fax:201-767-6926
Practice Address - Street 1:151 E PALISADE AVE
Practice Address - Street 2:APT #A9
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2248
Practice Address - Country:US
Practice Address - Phone:201-871-4778
Practice Address - Fax:201-767-6926
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ231462084P0800X
NY828002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ457199Medicare PIN