| Freedom Medical Clinics | |
|
304 Lakeview Ave Clifton NJ 07011-4069 | |
| (973) 478-8600 | |
| (973) 478-8601 |
| Full Name | Freedom Medical Clinics |
|---|---|
| Speciality | Internal Medicine |
| Location | 304 Lakeview Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Beatrice Onyeador (OWNER) |
| Authorized Official Contact | 9734788600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Medical Clinics 304 Lakeview Ave Clifton NJ 07011-4069 Ph: (973) 478-8600 | Freedom Medical Clinics 304 Lakeview Ave Clifton NJ 07011-4069 Ph: (973) 478-8600 |
| NPI Number | 1437614393 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Medicare PECOS PAC ID | 3779825740 |
|---|---|
| Medicare Enrollment ID | O20190424000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437614393 | NPI | - | NPPES |
| 25MA07345200 | Other | NJ | NJ LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Beatrice Ogbonn Onyeador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114969870 PECOS PAC ID: 1254227473 Enrollment ID: I20040225000365 |
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