=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518145010
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDA FREILICH M.D., P.A.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2008
-----------------------------------------------------
Last Update Date | 02/06/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 E WHEEL RD
-----------------------------------------------------
City | BEL AIR
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21015-6114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-569-2929
-----------------------------------------------------
Fax | 410-569-2724
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 101 E WHEEL RD
-----------------------------------------------------
City | BEL AIR
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21015-6114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-569-2929
-----------------------------------------------------
Fax | 410-569-2724
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number | D28339
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------