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Individual

MRS. ELIZABETH ANNE FREIS-BLOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
443 MIDDLESEX AVE, METUCHEN, NJ 08840-1422
(732) 548-5991
Mailing address
443 MIDDLESEX AVE, METUCHEN, NJ 08840-1422
(732) 548-5991

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00107200
NJ

Other

Enumeration date
05/28/2008
Last updated
05/28/2008
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