Provider Demographics
NPI:1780735068
Name:FREUNDEL, BARRY (RPH)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:
Last Name:FREUNDEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GIRARD ST
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1005
Mailing Address - Country:US
Mailing Address - Phone:732-539-5061
Mailing Address - Fax:732-536-8022
Practice Address - Street 1:412 MAIN ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1807
Practice Address - Country:US
Practice Address - Phone:732-548-0123
Practice Address - Fax:732-906-9205
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01298200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist