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General NPI Number Information
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NPI Number | 1285873026
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Entity Type | Organization
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Legal Business Name | PETER C FREIS MD PA
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 443 MIDDLESEX AVE
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City | METUCHEN
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State | NJ
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Zip | 08840-1422
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Country | US
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Telephone | 732-548-5991
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Fax |
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Provider Business Mailing Address
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Address Line | 443 MIDDLESEX AVE
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City | METUCHEN
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State | NJ
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Zip | 08840-1422
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Country | US
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Telephone | 732-548-5991
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER FREIS
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Credential | M.D.
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Telephone | 732-548-5991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MA025379
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License Number State | NJ
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