Provider Demographics
NPI:1447293873
Name:FRIEDLANDER, NEAL M (MD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:M
Last Name:FRIEDLANDER
Suffix:
Gender:M
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:PO BOX 418953
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-8953
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6535 N CHARLES ST
Practice Address - Street 2:STE 425
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-5826
Practice Address - Country:US
Practice Address - Phone:443-849-2397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD28673207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKJ74GB35043717OtherCAREFIRST OF MD GBMC
MD338751800Medicaid
MDS1260001OtherCAREFIRST REGIONAL GBMC
MD712L/132504YBPGMedicare PIN
MD132504YRJMedicare PIN
MD110181252Medicare PIN
MD710L436DMedicare PIN
MDS1260001OtherCAREFIRST REGIONAL GBMC