Individual
DR. JENNY E FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 WAVERLY OAKS RD, #150, WALTHAM, MA 02452-8448
(781) 373-1636
(781) 373-1653
Mailing address
59 ASH ST, WESTON, MA 02493-1927
(781) 760-5569
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
152076
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
152076
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010453
—
MA
01
—
304784
HARVARD PILGRIM HEALTHCAR
MA
01
—
772242
TUFTS HEALTH PLAN
MA
01
—
J18740
BCBSMA
MA
Enumeration date
01/17/2006
Last updated
11/19/2015
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