Provider Demographics
NPI:1265721674
Name:FREEDMAN, JOSHUA R (MD, MS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:R
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:1700 WHITEHORSE HAMILTON SQUARE RD D1
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3540
Mailing Address - Country:US
Mailing Address - Phone:609-890-2600
Mailing Address - Fax:609-890-0265
Practice Address - Street 1:836 WEST WELLINGTON AVENUE
Practice Address - Street 2:ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-9990
Practice Address - Country:US
Practice Address - Phone:773-296-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09721800207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology