| Freeman & Freeman ,p.c | |
|
2403 Kennedy Blvd Jersey City NJ 07304-1909 | |
| (201) 332-1664 | |
| Not Available |
| Full Name | Freeman & Freeman ,p.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2403 Kennedy Blvd, Jersey City, New Jersey |
| Authorized Official Name and Position | Paul Stephen Freeman (OWNER/ DENTIST) |
| Authorized Official Contact | 2013321664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeman & Freeman ,p.c 2403 Kennedy Blvd P.o. Box 4310 Jersey City NJ 07304-1909 Ph: (201) 332-1664 | Freeman & Freeman ,p.c 2403 Kennedy Blvd Jersey City NJ 07304-1909 Ph: (201) 332-1664 |
| NPI Number | 1801161815 |
|---|---|
| Provider Enumeration Date | 03/09/2012 |
| Last Update Date | 03/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801161815 | NPI | - | NPPES |
| 348240501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22D100614100 (New Jersey) | Primary |
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