Organization
DIAGNOSTIC PAIN MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S FRIEDMAN MD (PHYSICIAN/OWNER)
(856) 983-0779
Entity
Organization
Contact information
Practice address
73 N MAPLE AVE, SUITE A, MARLTON, NJ 08053-1782
(856) 983-0779
(856) 428-5235
Mailing address
73 N MAPLE AVE, SUITE A, MARLTON, NJ 08053-1782
(856) 983-0779
(856) 428-5235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA04287100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1791087
AETNA HMO
NJ
01
—
3426389000
INDEPENDENCE PERSONAL CHOICE
NJ
01
—
9987137
AETNA PPO
NJ
Enumeration date
03/06/2008
Last updated
05/14/2008
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