Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | C10001623 | DE |
NPI | 1003844358 |
---|---|
Provider Name | Dr. Harry M Freedman |
First Address | Seaford, DE 19973-3650 |
Second Address | Seaford, DE 19973-3650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000089001 | (05) | DE |
D01055 | (02) | DE |