Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 57.008934 | OH |
Y | 2080P0214X | Pediatric Pulmonologist | 0101264442 | VA |
NPI | 1144433806 |
---|---|
Provider Name | Joshua Freedman |
First Address | Richmond, VA 23227-1149 |
Second Address | Richmond, VA 23226-1934 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 11/11/2019 |