Organization
FREEHOLD OPHTHALMOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ANDREW GERSHENBAUM MD (OWNER)
(732) 431-9333
Entity
Organization
Contact information
Practice address
509 STILLWELLS CORNER RD STE E5, FREEHOLD, NJ 07728-2965
(732) 431-9333
(732) 431-3312
Mailing address
509 STILLWELLS CORNER RD, SUITE E5, FREEHOLD, NJ 07728-2965
(732) 431-9333
(732) 431-3312
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07781000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053023
—
NJ
Enumeration date
05/21/2006
Last updated
10/05/2018
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