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Individual

JERROLD A FRIEDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
25MA06914500
NJ
208100000X
Physical Medicine & Rehabilitation Physician
MD067120L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0343567000
AMERIHEALTH HMO
NJ
01
1155963
HORIZON NJ HEALTH
NJ
01
250013591
RAILROAD MEDICARE
PA
01
250013827
RAILROAD MEDICARE
NJ
01
2672520
AETNA HMO
NJ
01
30021071
KEYSTONE MERCY
01
5365751
AETNA PPO
NJ
01
568292
AMERIHEALTH PERSONAL CHOI
NJ
01
568292
PA BLUE SHIELD NJ PATIENT
05
7961103
NJ
01
FR1648250
HIGHMARK BCBS
01
NY212261
EMPIRE BCBS
Enumeration date
05/10/2006
Last updated
12/03/2025
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