Organization
JERROLD FRIEDMAN, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROLD FRIEDMAN MD (SELF)
(856) 912-3754
Entity
Organization
Contact information
Practice address
123 CHESTNUT ST STE 204, PHILADELPHIA, PA 19106-3051
(215) 627-3782
(215) 627-3695
Mailing address
PO BOX 1272, MOUNT LAUREL, NJ 08054-7272
(856) 383-4009
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0343567000
AMERIHEALTH HMO/PPO
NJ
01
—
069469768
TAX ID
NJ
01
—
2672520
AETNA HMO
—
01
—
5365751
AETNA PPO
—
01
—
568292
AMERIHEALTH ADMINISTRATOR
NJ
Enumeration date
05/10/2006
Last updated
11/25/2025
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