Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 232807 | MA |
N | 2080P0202X | Pediatric Cardiologist | 036.124894 | IL |
Y | 2080P0202X | Pediatric Cardiologist | 254766 | MA |
NPI | 1255516654 |
---|---|
Provider Name | Dr. Lindsay R Freud |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2008 |
Last Update Date | 14/08/2013 |