Organization
FREEDOM MEDICAL CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE ONYEADOR MD (OWNER)
(973) 478-8600
Entity
Organization
Contact information
Practice address
304 LAKEVIEW AVE, CLIFTON, NJ 07011-4069
(973) 478-8600
(973) 478-8601
Mailing address
304 LAKEVIEW AVE, CLIFTON, NJ 07011-4069
(973) 478-8600
(973) 478-8601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07345200
NJ LICENSE
NJ
Enumeration date
02/05/2019
Last updated
02/05/2019
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