Provider Demographics
NPI:1255359907
Name:FRIEMAN, AMY P (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:P
Last Name:FRIEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 CAMPUS PKWY
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-6821
Mailing Address - Country:US
Mailing Address - Phone:732-202-8071
Mailing Address - Fax:732-922-6026
Practice Address - Street 1:1350 CAMPUS PKWY
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07753-6821
Practice Address - Country:US
Practice Address - Phone:732-202-8071
Practice Address - Fax:732-922-6026
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07919300207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
83S951Medicare ID - Type Unspecified
H96135Medicare UPIN