Provider Demographics
NPI:1265443238
Name:FREUNDLICH, RICHARD EVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:EVAN
Last Name:FREUNDLICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 MILLBURN AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1737
Mailing Address - Country:US
Mailing Address - Phone:973-218-9330
Mailing Address - Fax:973-218-9351
Practice Address - Street 1:225 MILLBURN AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1737
Practice Address - Country:US
Practice Address - Phone:973-218-9330
Practice Address - Fax:973-218-9351
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0465440207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3408108-01Medicaid
C55770Medicare UPIN
NJ3408108-01Medicaid
NJ456056Medicare PIN