Basic Information
| Provider Information | |||||||||
| NPI: | 1669534079 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BRAD S FRIEDMANN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 380 MIDDLETOWN BLVD | ||||||||
| Address2: | OXFOD SQUARE #700 | ||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471845 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157528860 | ||||||||
| FaxNumber: | 2157528022 | ||||||||
| Practice Location | |||||||||
| Address1: | 380 MIDDLETOWN BLVD | ||||||||
| Address2: | OXFOD SQUARE #700 | ||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471845 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157528860 | ||||||||
| FaxNumber: | 2157528022 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | FRIEDMANN | ||||||||
| AuthorizedOfficialFirstName: | BRAD | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | DOCTOR | ||||||||
| AuthorizedOfficialTelephone: | 2157528860 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.