Organization
PHYSICIANS IN KIDNEY DISEASE & CELL THERAPIES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S FRIEDMAN MD (MD)
(973) 412-0103
Entity
Organization
Contact information
Practice address
301 SUPOR BLVD, HARRISON, NJ 07029-1912
(973) 412-0103
(973) 412-0105
Mailing address
301 SUPOR BLVD, HARRISON, NJ 07029-1912
(973) 412-0103
(973) 412-0105
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA52649
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6073603
—
NJ
Enumeration date
09/19/2007
Last updated
12/10/2007
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