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NPI Code Detail

MEDICARE: DR. ERIC L FREEDMAN M.D.

MEDICARE:  DR. ERIC L FREEDMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery PhysicianA507120CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1330767790OTHERCATAX ID

General Provider Information

NPI Number : 1417952797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC L FREEDMAN M.D.
Provider Business Mailing Address
First Line : 36951 COOK ST
Second Line : STE 102
City : PALM DESERT
State : CA
Zip : 92211-6082
Country : US
Telephone Number : 760-342-8444
Fax Number : 760-342-8544
Provider Business Practice Location Address
First Line : 36951 COOK STREET
Second Line : STE 102
City : PALM DESERT
State : CA
Zip : 92211-6082
Country : US
Telephone Number : 760-342-8444
Fax Number : 760-342-8544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 11/29/2016

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Directions to “ DR. ERIC L FREEDMAN M.D.” Practice Location

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