Provider Demographics
NPI:1104959527
Name:FRIEDMAN, ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1496 CEDAR ROW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1514
Mailing Address - Country:US
Mailing Address - Phone:908-447-1066
Mailing Address - Fax:888-241-5730
Practice Address - Street 1:351 E 84TH ST APT 15F
Practice Address - Street 2:EXPERT MEDICAL EVALUATIONS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4456
Practice Address - Country:US
Practice Address - Phone:212-481-8484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2008-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197575208100000X
NJMA 64221208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8045802Medicaid
NJ026164Medicare ID - Type Unspecified
NJG90306Medicare UPIN