Organization
BEATRICE ONYEADER FREEDOM MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEATRICE ONYEADOR DR (OWNER)
(973) 340-1222
Entity
Organization
Contact information
Practice address
304 LAKEVIEW AVE, CLIFTON, NJ 07011-4069
(973) 478-8600
Mailing address
304 LAKEVIEW AVE, CLIFTON, NJ 07011-4069
(973) 478-8600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA73452
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8897808
—
NJ
Enumeration date
06/11/2006
Last updated
06/27/2008
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