| Robert S. Freid M.d. P.a. | |
|
205 Ridgedale Ave Florham Park NJ 07932-1349 | |
| (973) 377-0164 | |
| (973) 377-0063 |
| Full Name | Robert S. Freid M.d. P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 Ridgedale Ave, Florham Park, New Jersey |
| Authorized Official Name and Position | Robert Saul Freid (PRESIDENT) |
| Authorized Official Contact | 9733770164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S. Freid M.d. P.a. 205 Ridgedale Ave Florham Park NJ 07932-1349 Ph: (973) 377-0164 | Robert S. Freid M.d. P.a. 205 Ridgedale Ave Florham Park NJ 07932-1349 Ph: (973) 377-0164 |
| NPI Number | 1295989259 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/04/2008 |
| Medicare PECOS PAC ID | 3870771033 |
|---|---|
| Medicare Enrollment ID | O20110617000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295989259 | NPI | - | NPPES |
| 1957201 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Robert S Freid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659474104 PECOS PAC ID: 8022031327 Enrollment ID: I20060112000867 |
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