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Individual

ROSEANN J FREUNDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
102 15TH ST NW, SUITE 301, NORTON, VA 24273-1627
(276) 679-1623
(276) 679-6811
Mailing address
102 15TH ST NW, SUITE 301, NORTON, VA 24273-1627
(276) 679-1623
(276) 679-6811

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102202500
VA
207V00000X
Obstetrics & Gynecology Physician
H91026
MD
207V00000X
Obstetrics & Gynecology Physician
OT011243
PA
207VX0000X
Obstetrics Physician
DO2699
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497933063
VA
05
7100087150
KY
01
P00920877
RR MEDICARE
Enumeration date
02/06/2008
Last updated
03/25/2021
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