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General NPI Number Information
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NPI Number | 1285623520
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Entity Type | Individual
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Provider Name | GERARD MARTIN FREISINGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 15 MAPLE AVENUE
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City | WARWICK
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State | NY
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Zip | 10990-1522
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Country | US
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Telephone | 845-987-5147
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Fax | 845-986-1803
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Provider Business Mailing Address
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Address Line | 20 GRAND ST 3RD FLOOR
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City | WARWICK
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State | NY
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Zip | 10990-1035
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Country | US
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Telephone | 845-987-3973
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Fax | 845-987-5979
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 105585
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License Number State | NY
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