Individual
MR. IVAN A FRIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 GRAND AVE, SUITE 101, ENGLEWOOD, NJ 07631-4152
(201) 569-7044
(201) 569-1999
Mailing address
420 GRAND AVE, SUITE 101, ENGLEWOOD, NJ 07631-4152
(201) 569-7044
(201) 569-1999
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
134313-1
NY
207RG0100X
Gastroenterology Physician
Primary
25MA03997000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1909509
—
NJ
01
—
2400476
GHI
NJ
01
—
41A321
EMPIRE HEALTH
NJ
01
—
60832
AETNA US HEALTHCARE
NJ
01
—
BS237
OXFORD HEALTH PLANS
NJ
01
—
OK2491
HEALTHNET
NJ
Enumeration date
05/19/2006
Last updated
12/15/2025
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