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Individual

DR. SUSAN M FREED-GILVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
171 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2418
(908) 852-6623
(908) 852-2334
Mailing address
171 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2418
(908) 852-6623
(908) 852-2334

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00543000
NJ
152WC0802X
Corneal and Contact Management Optometrist
27OA00543000
NJ
152WP0200X
Pediatric Optometrist
27OA00543000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223342537
TAX ID
NJ
05
7593503
NJ
Enumeration date
07/12/2006
Last updated
02/23/2017
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