Provider Demographics
NPI:1982663191
Name:FRIEDMAN, HARVEY Y (MD)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:Y
Last Name:FRIEDMAN
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 1:401 S VAN BRUNT ST
Mailing Address - Street 2:STE 405
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631
Mailing Address - Country:US
Mailing Address - Phone:201-871-4346
Mailing Address - Fax:201-871-5953
Practice Address - Street 1:401 S VAN BRUNT ST
Practice Address - Street 2:STE 405
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4604
Practice Address - Country:US
Practice Address - Phone:201-871-4346
Practice Address - Fax:201-871-5953
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA46114207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
020551Medicare ID - Type Unspecified
E52523Medicare UPIN