| Freeman&freemanpc | |
|
2403 2405 Kennedy Blvd Jersey City NJ 07304 | |
| (201) 332-1664 | |
| (201) 332-8808 |
| Full Name | Freeman&freemanpc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2403 2405 Kennedy Blvd, Jersey City, New Jersey |
| Authorized Official Name and Position | Paul S Freeman (OWNER/DENTIST) |
| Authorized Official Contact | 2013321664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeman&freemanpc 2403 2405 Kennedy Blvd Jersey City NJ 07304 Ph: (201) 332-1664 | Freeman&freemanpc 2403 2405 Kennedy Blvd Jersey City NJ 07304 Ph: (201) 332-1664 |
| NPI Number | 1457594350 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 04/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457594350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22D100614100 (New Jersey) | Primary |
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