Individual
PETER FREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7044
Mailing address
317 GEORGE ST, UNIVERSITY MEDICAL GROUP 3RD FLOOR, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8282
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA02537900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2828600
—
NJ
Enumeration date
12/06/2006
Last updated
07/08/2007
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