Dr. Nicolas Freda, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Old Tappan, NJ. Individual provider (NPI-1).
NPI number1639622483
StatusActive
Last updated in NPPESMay 5, 2020
Details
- NPI
- 1639622483
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicolas Freda
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2016
- Certification date
- May 5, 2020
- Last updated
- May 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 22DI02593700 | NJ | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 058633 | NY |
Practice location
180 Old Tappan Rd Ste 1aOld Tappan, NJ 07675-7052
Phone 201-768-0018
Mailing address
6 Ammerman WayChester, NJ 07930-2214
Phone 908-295-6508
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