Individual
DR. JAY M FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
907 N MAIN RD, VINELAND, NJ 08360-8200
(856) 691-0720
(856) 691-6163
Mailing address
2902 WYNNEWOOD DR, VINELAND, NJ 08361-6756
(856) 692-0161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00287300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2184876002
AMERIHEALTH
NJ
01
—
35018
AETNA
NJ
Enumeration date
08/02/2006
Last updated
07/08/2007
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