Basic Information
| Provider Information | |||||||||
| NPI: | 1306823471 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRIEDLAND | ||||||||
| FirstName: | ALLEN | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4735 OGLETOWN STANTON RD | ||||||||
| Address2: | STE 1250 | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197132076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026230260 | ||||||||
| FaxNumber: | 3026230267 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 HYGEIA DR | ||||||||
| Address2: | UNIT D | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197132049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026230100 | ||||||||
| FaxNumber: | 3026230147 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2005 | ||||||||
| LastUpdateDate: | 08/25/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | C10005316 | DE | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | C10005316 | DE | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.