Healthcare Provider Details
I. General information
NPI: 1083813539
Provider Name (Legal Business Name): FREUND BROTHERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2007
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
199 NEW RD STE 71
LINWOOD NJ
08221-2025
US
IV. Provider business mailing address
199 NEW RD STE 71
LINWOOD NJ
08221-2025
US
V. Phone/Fax
- Phone: 609-927-0990
- Fax: 609-927-0990
- Phone: 609-927-0990
- Fax: 609-927-0990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 31TD00077300 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
WILLIAM
HENRY
FREUND
JR.
Title or Position: PRESIDENT
Credential:
Phone: 609-927-0990