Provider Demographics
NPI:1568436517
Name:STUART H FREEDENFELD
Entity Type:Organization
Organization Name:STUART H FREEDENFELD
Other - Org Name:STOCKTON FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:H
Authorized Official - Last Name:FREEDENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-397-8585
Mailing Address - Street 1:56 S MAIN ST
Mailing Address - Street 2:STE A
Mailing Address - City:STOCKTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08559
Mailing Address - Country:US
Mailing Address - Phone:609-397-8585
Mailing Address - Fax:609-397-1907
Practice Address - Street 1:56 S MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:STOCKTON
Practice Address - State:NJ
Practice Address - Zip Code:08559
Practice Address - Country:US
Practice Address - Phone:609-397-8585
Practice Address - Fax:609-397-1907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty