1275586422 NPI number — DR. HOWARD MICHAEL FRIEDLAND DO

Table of content: DR. HOWARD MICHAEL FRIEDLAND DO (NPI 1275586422)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275586422 NPI number — DR. HOWARD MICHAEL FRIEDLAND DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRIEDLAND
Provider First Name:
HOWARD
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275586422
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 13700-0135
Provider Second Line Business Mailing Address:
C/O NEWARK BETH ISRAEL EMERGENCY ROOM DEPARTMENT
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19191-0135
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-668-6491
Provider Business Mailing Address Fax Number:
610-617-6280

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 LYONS AVENUE
Provider Second Line Business Practice Location Address:
NEWARK BETH ISRAEL MEDICAL CENTER
Provider Business Practice Location Address City Name:
NEWARD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07112-2094
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-926-7000
Provider Business Practice Location Address Fax Number:
610-617-6280
Provider Enumeration Date:
05/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  25MB06590200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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