Organization
FREEPORT MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAKDIDEJ SUWAN M.D. (PRESIDENT)
(724) 295-5202
Entity
Organization
Contact information
Practice address
419 MARKET ST, FREEPORT, PA 16229-1121
(724) 295-5202
(724) 295-1160
Mailing address
419 MARKET ST, FREEPORT, PA 16229-1121
(724) 295-5202
(724) 295-1160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD014710Y
PA
207RI0200X
Infectious Disease Physician
MD014710Y
PA
208000000X
Pediatrics Physician
Primary
MD014950Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006560450001
—
PA
01
—
732119
BLUE SHIELD
PA
Enumeration date
03/29/2006
Last updated
09/11/2025
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