MEDICARE: DR. ALLAN PERRY 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
1	207RP1001X	Pulmonary Disease Physician	MD-014518-E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	CD4829	OTHER	PA	RR MEDICARE GROUP TPI
8	597586	OTHER	PA	MEDICARE GROUP
10	220025653	OTHER	PA	RAILROAD MEDICARE
16	P00721315	OTHER	PA	RR MEDICARE INDIVIDUAL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	064056	OTHER	PA	BLUE SHIELD
2	1010133	OTHER	PA	KEYSTONE MERCY
3	2122875	OTHER	PA	AETNA
4	C28697	OTHER	PA	HEALTH PARTNERS
6	00694879-05	OTHER	PA	HMA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	0061609000	OTHER	PA	KEYSTONE
11	236957005	OTHER	PA	CIGNA
12	PHS228	OTHER	PA	OXFORD
13	174375	OTHER	PA	OAKTREE
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	2Y8051	OTHER	PA	HEALTH NET

General Provider Information

NPI Number	:	1447259049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN PERRY FREEDMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 820933
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19182-0933
Country	:	US
Telephone Number	:	215-663-9095
Fax Number	:	215-663-9578

Provider Business Practice Location Address
First Line	:	445 SHADY LN
Second Line	:	2ND FL
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-8749
Country	:	US
Telephone Number	:	215-663-9095
Fax Number	:	215-663-9578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	12/30/2013

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Directions to “ DR. ALLAN PERRY FREEDMAN M.D.” Practice Location

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