Healthcare Provider Details

I. General information

NPI: 1013973171
Provider Name (Legal Business Name): KAREN FREUND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 11/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 ALBANY ST SHAPIRO 5, SUITE A
BOSTON MA
02118-2526
US

IV. Provider business mailing address

850 HARRISON AVE YACC BN-C7
BOSTON MA
02118-4001
US

V. Phone/Fax

Practice location:
  • Phone: 617-638-7428
  • Fax: 617-638-7472
Mailing address:
  • Phone: 617-414-5405
  • Fax: 617-414-6031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number53869
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number53869
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: