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Individual

DR. SCOTT HOWARD FREDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
676 DEKALB PIKE, SUITE 106, BLUE BELL, PA 19422
(610) 279-7696
(610) 279-7782
Mailing address
207 N BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19107-1500
(610) 279-1370
(610) 279-1372

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD444544
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102699732 0001
PA
01
P01119926
RR MEDICARE
PA
Enumeration date
12/19/2007
Last updated
07/10/2023
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