Organization
PARTNERS IN FREEDOM LLC
Active
Parent organization
PARTNERS IN FREEDOM LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARTNERS IN FREEDOM LLC
Authorized official
DR. JANICE SICILIANO DO (OFFICIAL DELEGATE/PRESIDENT)
(732) 974-1980
Entity
Organization
Contact information
Practice address
3350 HWY 138 STE 217, WALL TOWNSHIP, NJ 07719-9694
(732) 974-1980
(732) 681-0835
Mailing address
3350 HWY 138 STE 217, WALL TOWNSHIP, NJ 07719-9694
(732) 974-1980
(732) 681-0835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NJ
207R00000X
Internal Medicine Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034835
—
NJ
01
—
2296455001
AMERIHEALTH SEA GIRT LOCA
NJ
01
—
2296455002
AMERIHEALTH HOWELL LOCATI
NJ
01
—
5599107
GHI
NJ
01
—
60004140
HORIZON NJ HEALTH
NJ
01
—
DB7403
RAILROAD MEDICARE
NJ
Enumeration date
05/15/2006
Last updated
02/13/2023
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