Individual
MR. PHILIP BRIAN FREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 CENTRAL AVE, SAINT MICHAEL'S MEDICAL CENTER - DIV OF CARDIAC SURGERY, NEWARK, NJ 07102-1909
(973) 877-2327
Mailing address
18206 ROCKPORT PL, LAKEWOOD RANCH, FL 34211-1169
(917) 407-1251
(908) 430-5610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00077100
NJ
363AM0700X
Medical Physician Assistant
Primary
PA9114226
FL
363AS0400X
Surgical Physician Assistant
005611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106137
OEMEMERGENCY
FL
Enumeration date
01/06/2009
Last updated
02/26/2026
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