Kenneth Freedman in Jamaica Plain - Addiction Medicine
Kenneth Freedman - NPI 1962472894
Kenneth Freedman is a Addiction Medicine in Jamaica Plain, Massachusetts. Kenneth Freedman practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Kenneth Freedman is 1962472894. The last update date is 2007-07-08.
Kenneth Freedman's current location address is 170 Morton St, Jamaica Plain, Massachusetts. You can contact this provider via phone number 6179713532 and fax number 6179713852. The mailing address for Kenneth Freedman is 170 Morton St, Jamaica Plain, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Freedman |
|---|---|
| Address | 170 Morton St, Jamaica Plain, Massachusetts |
| Phone Number | 6179713532 |
| Fax Number | 6179713852 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962472894 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 170 Morton St |
|---|---|
| City | Jamaica Plain |
| State | Massachusetts (MA) |
| Post Code | 21303735 |
| Phone Number | 6179713532 |
| Fax Number | 6179713852 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 157760 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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What is the unique 10-digit identification code issued to Kenneth Freedman by the Centers for Medicare & Medicaid Services?
The Kenneth Freedman has been assigned the NPI (National Provider Identifier) 1962472894 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kenneth Freedman?
The Kenneth Freedman is situated at 170 Morton St, in the city of Jamaica Plain, state of MA, with the zip code 21303735.
What is Kenneth Freedman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth Freedman is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 207Ra0401X.
On what date was the 1962472894 assigned to Kenneth Freedman?
The Kenneth Freedman was issued its 1962472894 on 2006-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth Freedman's details last updated?
The information pertaining to the Kenneth Freedman, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM