Provider Demographics
NPI:1609022706
Name:FRIDLENDER, GREGORIO ZVI (MD MSC)
Entity Type:Individual
Prefix:DR
First Name:GREGORIO
Middle Name:ZVI
Last Name:FRIDLENDER
Suffix:
Gender:M
Credentials:MD MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N WYNNEWOOD AVE
Mailing Address - Street 2:APT. B313
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1433
Mailing Address - Country:US
Mailing Address - Phone:484-416-3093
Mailing Address - Fax:
Practice Address - Street 1:200 N WYNNEWOOD AVE
Practice Address - Street 2:APT. B313
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1433
Practice Address - Country:US
Practice Address - Phone:484-416-3093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD434571207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine