Provider Demographics
NPI:1649481813
Name:FRIEDMAN, JOY OLIVIA (M D)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:OLIVIA
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:OLIVIA
Other - Last Name:RABINOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5501 OLD YORK RD
Mailing Address - Street 2:LEVY 2-WEST
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3018
Mailing Address - Country:US
Mailing Address - Phone:215-456-7170
Mailing Address - Fax:215-456-2356
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:LEVY 2-WEST
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-7170
Practice Address - Fax:215-456-2356
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253801-12080A0000X
MI43010878452080A0000X
PAMD4565602080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine