Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 25MA05650600 | NJ |
NPI | 1043307440 |
---|---|
Provider Name | David I Freilich |
First Address | Boston, MA 02241-6457 |
Second Address | Morristown, NJ 07960-6092 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 03/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A60153 | (02) |