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NPI Code Detail

MEDICARE: LAURA M FREEDMAN MD

MEDICARE: LAURA M FREEDMAN MD
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
12085R0001XRadiation Oncology Physician4301067863MI
22085R0001XRadiation Oncology PhysicianME108640FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457391906
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA M FREEDMAN MD
Provider Business Mailing Address
First Line : 1192 E NEWPORT CENTER DR
Second Line : DEPARTMENT OF RADIATION ONCOLOGY
City : DEERFIELD BEACH
State : FL
Zip : 33442-7753
Country : US
Telephone Number : 954-698-3694
Fax Number :
Provider Business Practice Location Address
First Line : 1192 E NEWPORT CENTER DR
Second Line : DEPARTMENT OF RADIATION ONCOLOGY
City : DEERFIELD BEACH
State : FL
Zip : 33442-7753
Country : US
Telephone Number : 954-698-3694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 04/05/2011

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