Provider Demographics
NPI:1154544518
Name:FRIEDMAN, BRUCE P (MD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:P
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 1:207 INWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1946
Mailing Address - Country:US
Mailing Address - Phone:973-509-8400
Mailing Address - Fax:973-337-5097
Practice Address - Street 1:207 INWOOD AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1946
Practice Address - Country:US
Practice Address - Phone:973-509-8400
Practice Address - Fax:973-337-5097
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA078229002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry