Individual
BRUCE IRA FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-5303
(201) 996-0754
Mailing address
58 LEE RD, LIVINGSTON, NJ 07039-4134
(201) 996-5303
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
50770
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0319805
—
NJ
Enumeration date
03/05/2007
Last updated
07/08/2007
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