Individual
MR. JACOB FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
21 DWIGHT RD STE 104, LONGMEADOW, MA 01106-1765
(413) 795-4555
(413) 794-9448
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA6332
MA
Other
Enumeration date
01/05/2018
Last updated
10/06/2020
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