Individual
DR. RUDOLPH FREEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11818 ROCK LANDING DR STE 101, NEWPORT NEWS, VA 23606-4394
(757) 595-3900
Mailing address
297 INDEPENDENCE BLVD, SUITE 126, VIRGINIA BEACH, VA 23462-2911
(757) 385-0511
(757) 473-5161
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101033070
VA
2084P0805X
Geriatric Psychiatry Physician
0101033070
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831102276
OPTIMA
VA
01
—
1831102276
ANTHEM
—
01
—
1861562472
VIRGINIA PREMIER
VA
05
—
1861562472
—
VA
Enumeration date
08/15/2006
Last updated
11/21/2019
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