Individual
MARIANNA FREUDZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 CEDAR ST, YUSM DEPARTMENT OF DERMATOLOGY, NEW HAVEN, CT 06510-3206
(203) 785-4632
Mailing address
3495 PIEDMONT RD NE BLDG 91, ATLANTA, GA 30305-1717
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
083125
GA
207N00000X
Dermatology Physician
60476
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073931564
INDIVIDUAL
—
Enumeration date
04/01/2014
Last updated
01/07/2022
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