Individual
DR. GARY LELAND FREED JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC PLASTIC SURGERY, LEBANON, NH 03756-1000
(603) 650-5148
(603) 650-8456
Mailing address
1 MEDICAL CENTER DR, DHMC PLASTIC SURGERY, LEBANON, NH 03756-1000
(603) 650-5148
(603) 650-8456
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
15218
NH
208200000X
Plastic Surgery Physician
Primary
15218
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019432
—
VT
05
—
110090698A
—
MA
05
—
32000757
—
NH
Enumeration date
05/08/2008
Last updated
05/22/2012
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