Individual
DR. WARREN BARRY FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7540
Mailing address
PO BOX 2187, EDISON, NJ 08818-2187
(732) 668-1403
(732) 668-0503
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07346300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8740704
—
NJ
Enumeration date
01/19/2006
Last updated
10/09/2007
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