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Individual

TED L FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
186 JACK MARTIN BLVD, SUITE B1, BRICK, NJ 08724
(732) 785-1600
(732) 785-1642
Mailing address
186 JACK MARTIN BLVD, SUITE B1, BRICK, NJ 08724
(732) 785-1600
(732) 785-1642

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MB06110000
NJ
208VP0014X
Interventional Pain Medicine Physician
25MB06110000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8067503
NJ
Enumeration date
12/04/2006
Last updated
10/27/2008
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