Individual
MR. MARK W FREEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1157 HANCOCK ST, QUINCY, MA 02169-4303
(617) 786-0141
Mailing address
119A HAWKINS ST, PLAINVILLE, MA 02762-2306
(508) 643-2297
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
220
MA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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