Individual
JOHN JEFFREY FREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 EAST 210TH STREET, KLAU 3, BRONX, NY 10467
(718) 920-5501
(718) 920-8543
Mailing address
111 EAST 210TH STREET, KLAU 3, BRONX, NY 10467-2140
(718) 920-5501
(718) 920-8543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
181761
NY
207L00000X
Anesthesiology Physician
25MA06267400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01454493
—
NY
Enumeration date
10/09/2006
Last updated
10/01/2019
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