Healthcare Provider Details

I. General information

NPI: 1245207828
Provider Name (Legal Business Name): ARNOLD S FREEDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BINNEY STREET ROOM D1B30 DFCI DANA FARBER CANCER INSTITUTE
BOSTON MA
02115
US

IV. Provider business mailing address

1065 WALNUT ST
NEWTON MA
02461-1262
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-4894
  • Fax: 617-582-7890
Mailing address:
  • Phone: 617-969-2934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number47330
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: