Provider Demographics
NPI:1780618579
Name:FRIEDEN, FAITH J (MD)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:J
Last Name:FRIEDEN
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 1:101 QUEEN CT
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-1340
Mailing Address - Country:US
Mailing Address - Phone:201-321-7891
Mailing Address - Fax:
Practice Address - Street 1:101 QUEEN CT
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NJ
Practice Address - Zip Code:07642-1340
Practice Address - Country:US
Practice Address - Phone:201-321-7891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05962500207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6865003Medicaid
NJ6865003Medicaid