Individual
DR. GREGORY S. FREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
38 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2925
(201) 864-4700
(201) 864-0197
Mailing address
24 VISTA RD, MONTVILLE, NJ 07045-9206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI021382
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
TAXONOMY
NJ
01
—
DI021382
STATE LICENSE
NJ
Enumeration date
05/24/2005
Last updated
07/08/2007
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