Individual
GARY MITCHEL FREEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE STREET, 2 DONNER, PHILADELPHIA, PA 19104
(215) 662-2428
(215) 214-1629
Mailing address
3624 MARKET STREET, STE. 560W, PHILADELPHIA, PA 19104
(215) 662-3958
(215) 214-1629
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD057347L
PA
2085R0001X
Radiation Oncology Physician
Primary
MD057347L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016321640002
—
PA
Enumeration date
07/21/2006
Last updated
11/23/2011
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