Provider Demographics
NPI:1982924866
Name:FREUMAN, TAMARA DUKER (RD)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:DUKER
Last Name:FREUMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 5TH ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-2345
Mailing Address - Country:US
Mailing Address - Phone:646-309-4606
Mailing Address - Fax:
Practice Address - Street 1:1015 MADISON AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0261
Practice Address - Country:US
Practice Address - Phone:212-535-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered