Provider Demographics
NPI:1376635417
Name:FRIEDMAN, INGA (MD)
Entity type:Individual
Prefix:MRS
First Name:INGA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CORNWALL COURT
Mailing Address - Street 2:SUITE E
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:732-257-0003
Mailing Address - Fax:732-607-8023
Practice Address - Street 1:6 CORNWALL COURT
Practice Address - Street 2:SUITE E
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-257-0003
Practice Address - Fax:732-607-8023
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06175100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6579903Medicaid
G03995Medicare UPIN
NJ6579903Medicaid