Individual
MRS. AMY ILYSE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 E WILLOW ST, MILLBURN, NJ 07041-1417
(973) 376-8500
(973) 376-1820
Mailing address
12 EAST WILLOW STREET, MILLBURN, NJ 07041
(973) 376-8500
(973) 376-1820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 92169
FL
207N00000X
Dermatology Physician
Primary
25MA08081300
NJ
Other
Enumeration date
09/23/2005
Last updated
02/18/2013
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