Healthcare Provider Details

I. General information

NPI: 1992716013
Provider Name (Legal Business Name): ASSOCIATES IN INTERNAL MEDICINE & NEPHROLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 03/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 MILLBURN AVE SUITE 209
MILLBURN NJ
07041-1737
US

IV. Provider business mailing address

225 MILLBURN AVE SUITE 209
MILLBURN NJ
07041-1737
US

V. Phone/Fax

Practice location:
  • Phone: 973-218-9330
  • Fax: 973-218-9351
Mailing address:
  • Phone: 973-218-9330
  • Fax: 973-218-9351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NANCY FREUNDLICH
Title or Position: PHYSICIAN/VICE-PRESIDENT
Credential: M.D.
Phone: 973-218-9330