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Individual

MR. JONATHAN D. FREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1135 BROAD ST, 3RD FL SUITE 3, CLIFTON, NJ 07013-3346
(973) 614-0990
(973) 614-8288
Mailing address
20 ALBERTINE PL, OAK RIDGE, NJ 07438-8829
(201) 835-7302

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00165500
NJ

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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