Individual
NATHAN FREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2301 E ALLEGHENY AVE, MADEL PAVILION 1ST FL, PHILA, PA 19134-4427
(215) 936-3880
(215) 926-3888
Mailing address
2301 E ALLEGHENY AVE, 1ST FLOOR, PHILA, PA 19134-4427
(215) 926-9022
(215) 926-3888
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
OS006031E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003287701
AMERICHOICE
PA
05
—
000868000
—
PA
01
—
1029320
AETNA HMO
PA
01
—
1238538
UNITED HEALTHCARE
PW
01
—
12844
BRAVO HEALTH
PA
01
—
1644822
HIGHMARK BLUE SHIELD
PA
01
—
2319758000
INDEPENDENCE BLUE CROSS
PA
01
—
30027706
KMHP
PA
01
—
3Y5980
HEALTH NET
PA
01
—
500525
COVENTRY HEALTH AMERICA
PA
01
—
5808048
AETNA PPO
PA
01
—
P00025016
RR MEDICARE
PA
Enumeration date
12/06/2005
Last updated
01/25/2011
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