Individual
LAWRENCE K FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
735 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1332
(215) 657-2012
(215) 657-2018
Mailing address
735 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1332
(215) 657-2012
(215) 657-2018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
224133
MA
207RN0300X
Nephrology Physician
Primary
MD431120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001974706
HIGHMARK BLUE SHIELD
PA
01
—
0048674000
IBC
—
01
—
02334MD431120
HEALTH PARTNERS
—
05
—
1019298740001
—
PA
01
—
7706849
AETNA PROVIDER NUMBER
PA
01
—
MD431120
MEDICAL LICENSE
PA
01
—
P00435581
RAILROAD MEDICARE
—
Enumeration date
05/30/2006
Last updated
05/22/2008
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