Provider Demographics
NPI:1023490158
Name:FRIEDMAN, PAUL ALLEN (COF)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ALLEN
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:COF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 MIDWAY DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4337
Mailing Address - Country:US
Mailing Address - Phone:973-919-1840
Mailing Address - Fax:973-629-1347
Practice Address - Street 1:35 MIDWAY DRIVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-919-1840
Practice Address - Fax:973-629-1347
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies