Provider Demographics
NPI:1992716013
Name:ASSOCIATES IN INTERNAL MEDICINE & NEPHROLOGY, P.C.
Entity type:Organization
Organization Name:ASSOCIATES IN INTERNAL MEDICINE & NEPHROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:FREUNDLICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-218-9330
Mailing Address - Street 1:225 MILLBURN AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1737
Mailing Address - Country:US
Mailing Address - Phone:973-218-9330
Mailing Address - Fax:973-218-9351
Practice Address - Street 1:225 MILLBURN AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1737
Practice Address - Country:US
Practice Address - Phone:973-218-9330
Practice Address - Fax:973-218-9351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ077123Medicare PIN