Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 206206 | MA |
NPI | 1174630214 |
---|---|
Provider Name | Matthew L Freedman |
First Address | Needham, MA 02492-1123 |
Second Address | Boston, MA 02115-6013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 08/07/2007 |