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Individual

DR. GLENN FREAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 ROUTE 109, CAPE MAY, NJ 08204-5259
(609) 884-4357
(609) 884-4377
Mailing address
900 ROUTE 109, CAPE MAY, NJ 08204-5259
(609) 884-4357
(609) 884-4377

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06853800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7806604
NJ
Enumeration date
07/06/2006
Last updated
07/02/2012
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