Healthcare Provider Details

I. General information

NPI: 1548263650
Provider Name (Legal Business Name): DAVID J FREEDMAN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 INTERNATIONAL DR SUITE 204
SILVER SPRING MD
20906-1550
US

IV. Provider business mailing address

PO BOX 825159
PHILADELPHIA PA
19182-5159
US

V. Phone/Fax

Practice location:
  • Phone: 301-598-0130
  • Fax: 301-598-5091
Mailing address:
  • Phone: 301-933-7133
  • Fax: 301-933-7137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number00967
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: