Organization
MEDI-HOME MEDICAL OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL FRIEDMAN DO (OWNER)
(609) 447-3442
Entity
Organization
Contact information
Practice address
137 HIGH ST, MOUNT HOLLY, NJ 08060-1420
(609) 447-3442
(609) 447-3443
Mailing address
137 HIGH ST, SUITE 2A, MOUNT HOLLY, NJ 08060-1420
(609) 447-3442
(609) 447-3443
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406317
—
NJ
01
—
338604
MEDICARE PTAN
NJ
Enumeration date
10/23/2013
Last updated
01/30/2015
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