# FREDDIE USA OF NEW JERSEY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932995230
- **Authorized official:** ALEX MOHSENI (PRESIDENT)
- **Authorized official phone:** (301) 706-4461

## Contact information

- **Practice address:** 13331 NACOGDOCHES RD, SAN ANTONIO, TX 78217
- **Practice address phone:** (423) 275-5200
- **Mailing address:** 180 TALMADGE RD, UNIT \#312, EDISON, NJ 08817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2025
- **Last updated:** 04/15/2025
