Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD431558 | PA |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD431558 | PA |
NPI | 1750451332 |
---|---|
Provider Name | Ronald Freudenberger |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 06/04/2020 |