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Individual
DR. E. KENNETH FREIBERG
Active
Individual
DR. E. KENNETH FREIBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
104283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00153101
FIDELIS
NY
05
—
01035065
—
NY
01
—
0C138P
HIP
NY
01
—
503988
AETNA
NY
Enumeration date
06/15/2005
Last updated
11/04/2009
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