Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 47559 | MD |
Y | 2080P0204X | Pediatric Emergency Doctor | 47559 | MD |
NPI | 1225065964 |
---|---|
Provider Name | Scott H Freedman |
First Address | Rockville, MD 20850-3357 |
Second Address | Rockville, MD 20850-3357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 18/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
252500300 | (05) | MD |