MEDICARE: DR. NEAL A FREED M.D.

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
1	207P00000X	Emergency Medicine Physician	0101257902	VA

General Provider Information

NPI Number	:	1043501661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEAL A FREED M.D.

Provider Business Mailing Address
First Line	:	PO BOX 715868
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19171-5868
Country	:	US
Telephone Number	:	804-915-1910
Fax Number	:	804-968-1803

Provider Business Practice Location Address
First Line	:	4710 PUDDLEDOCK RD STE 100
Second Line	:
City	:	PRINCE GEORGE
State	:	VA
Zip	:	23875-1269
Country	:	US
Telephone Number	:	804-732-0095
Fax Number	:	804-732-0055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2011
Last Update Date	:	11/04/2025

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