| Howard Lawrence Frey, MD | |
|
4 Godwin Avenue, Midland Park, NJ 07432 | |
| (201) 444-7070 | |
| (201) 444-7228 |
| Full Name | Howard Lawrence Frey |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 4 Godwin Avenue, Midland Park, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932241361 | NPI | - | NPPES |
| 1126601 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MA42395 (New Jersey) | Primary |
| Entity Name | Valley Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
| Mailing Address | Practice Location Address |
|---|---|
| Howard Lawrence Frey, MD 4 Godwin Avenue, Midland Park, NJ 07432 Ph: (201) 444-7070 | Howard Lawrence Frey, MD 4 Godwin Avenue, Midland Park, NJ 07432 Ph: (201) 444-7070 |
Saurabh Agarwal, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Ave, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 | |
Victor Hartanto, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 | |
Timothy Joseph Mackey, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 | |
Wayne Raymond Detorres, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 | |
Richard David Baum, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Godwin Avenue, Midland Park, NJ 07432 Phone: 201-444-7070 Fax: 201-444-7228 |