Individual
GERSON DE FREITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 OSTRUM ST # CW5, BETHLEHEM, PA 18015-1000
(484) 526-6643
Mailing address
801 OSTRUM ST # CW5, BETHLEHEM, PA 18015-1000
(484) 526-6156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD470483
PA
207R00000X
Internal Medicine Physician
MT212372
PA
Other
Enumeration date
02/20/2017
Last updated
08/18/2020
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