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NPI Code Detail

MEDICARE: JULIE FREEDMAN MD

MEDICARE: JULIE FREEDMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA86989CA
2208M00000XHospitalist PhysicianA86989CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A86989OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1033206891
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE FREEDMAN MD
Provider Business Mailing Address
First Line : 17 E SIR FRANCIS DRAKE BLVD
Second Line :
City : LARKSPUR
State : CA
Zip : 94939-1727
Country : US
Telephone Number : 415-927-2273
Fax Number : 415-813-2017
Provider Business Practice Location Address
First Line : 17 E SIR FRANCIS DRAKE BLVD
Second Line :
City : LARKSPUR
State : CA
Zip : 94939-1727
Country : US
Telephone Number : 415-927-2273
Fax Number : 415-813-2017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 03/12/2026

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