Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 25MA07919300 | NJ |
NPI | 1255359907 |
---|---|
Provider Name | Amy P Frieman |
First Address | Wall Township, NJ 07753-6821 |
Second Address | Wall Township, NJ 07753-6821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 02/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H96135 | (02) |