Provider Demographics
NPI:1265427991
Name:FREUND, ROBERT ANTHONY (DPT)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:FREUND
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 YAWPO AVE
Mailing Address - Street 2:STE 10
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-2714
Mailing Address - Country:US
Mailing Address - Phone:201-337-3307
Mailing Address - Fax:201-337-2489
Practice Address - Street 1:43 YAWPO AVE
Practice Address - Street 2:STE 10
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-2714
Practice Address - Country:US
Practice Address - Phone:201-337-3307
Practice Address - Fax:201-337-2489
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2012-04-09
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00242100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ579065Medicare ID - Type Unspecified