Provider Demographics
NPI:1235109927
Name:FRIEND, ADAM SETH (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:SETH
Last Name:FRIEND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:ONE BROADWAY
Mailing Address - Street 2:SUITE 404
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407
Mailing Address - Country:US
Mailing Address - Phone:201-797-5100
Mailing Address - Fax:201-797-4160
Practice Address - Street 1:65 HARRISTOWN RD STE 302
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-3317
Practice Address - Country:US
Practice Address - Phone:201-797-5100
Practice Address - Fax:201-797-4160
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2021-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06820400207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G49732Medicare UPIN