Provider Demographics
NPI:1255399101
Name:FRIEDMAN, ANDREW J (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
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 1:1125 TRENTON HARBOURTON ROAD
Mailing Address - Street 2:E31704
Mailing Address - City:TITUSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08560
Mailing Address - Country:US
Mailing Address - Phone:609-730-4529
Mailing Address - Fax:
Practice Address - Street 1:1125 TRENTON HARBOURTON RD
Practice Address - Street 2:E31704
Practice Address - City:TITUSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08560-1504
Practice Address - Country:US
Practice Address - Phone:609-730-4529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2007-11-16
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-28
Provider Licenses
StateLicense IDTaxonomies
MA51944207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology