Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 63896 | CT |
NPI | 1003113762 |
---|---|
Provider Name | Dr. Jennifer Anne Freimund |
First Address | Hamden, CT 06517-0371 |
Second Address | New Haven, CT 06511-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2011 |
Last Update Date | 30/06/2020 |