Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 225206 | NY |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA08209200 | NJ |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD427016 | PA |
NPI | 1821298688 |
---|---|
Provider Name | Dr. Samara Friedman |
First Address | Cedar Knolls, NJ 07927-2109 |
Second Address | Cedar Knolls, NJ 07927-2109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2007 |
Last Update Date | 06/09/2019 |