Individual
ANTHONY WILLIAM FREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
320 KEYSTONE AVE, PECKVILLE, PA 18452
(570) 489-0871
(570) 489-8021
Mailing address
320 KEYSTONE AVE, PECKVILLE, PA 18452-2242
(570) 489-0871
(570) 489-8021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0S009349L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001740405
—
PA
Enumeration date
01/18/2006
Last updated
02/08/2011
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