Organization
PEDIATRIC INTENSIVE CARE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE FRIEDMAN M.D. (PRESIDENT)
(201) 996-5303
Entity
Organization
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-5303
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7718306
—
NJ
Enumeration date
11/27/2006
Last updated
08/22/2020
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