Provider Demographics
NPI:1578557344
Name:FRIED, MARTIN DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:DANIEL
Last Name:FRIED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3200 SUNSET AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712
Mailing Address - Country:US
Mailing Address - Phone:732-682-3425
Mailing Address - Fax:732-455-3309
Practice Address - Street 1:3200 SUNSET AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4567
Practice Address - Country:US
Practice Address - Phone:732-682-3425
Practice Address - Fax:732-455-3309
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2014-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA503092080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology