Individual
DR. OLIVER FREUDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, LIN PSYCHIATRY ASSOCIATES INPATIENT CONSULT, BOSTON, MA 02114-2696
(617) 912-7800
(617) 723-3919
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 912-7800
(617) 723-3919
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
159703
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159703
TUFTS HEALTH PLAN
MA
05
—
3195660
—
MA
01
—
J21267
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
01/03/2013
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