Individual
TERRY FREEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5501 OLD YORK RD, KORMAN-SUITE 202, PHILADELPHIA, PA 19141-3018
(215) 254-2612
(215) 456-5926
Mailing address
5501 OLD YORK RD, TOWER 3-SUITE 3006, PHILADELPHIA, PA 19141-3018
(215) 456-7979
(215) 456-8530
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN208652L
PA
Other
Enumeration date
06/06/2006
Last updated
08/17/2016
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