Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 71001 | MA |
NPI | 1003855347 |
---|---|
Provider Name | Marc F Freedman |
First Address | Burlington, MA 01803-3766 |
Second Address | Burlington, MA 01803-3766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 28/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
071001 | TUFTS (01) | MA |
3047601 | (05) | MA |
E16808 | (02) | MA |
J08815 | BCBS (01) | MA |