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NPI Code Detail

MEDICARE: DR. SONIA FREITAS PHARM.D.

MEDICARE: DR. SONIA FREITAS PHARM.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
1183500000XPharmacistPH233194MA

General Provider Information

NPI Number : 1043526916
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONIA FREITAS PHARM.D.
Provider Business Mailing Address
First Line : 798 DORCHESTER AVE
Second Line : UNIT #2
City : DORCHESTER
State : MA
Zip : 02125-1171
Country : US
Telephone Number : 508-496-4825
Fax Number :
Provider Business Practice Location Address
First Line : 301 S HUNTINGTON AVE
Second Line : BRIGHAM WOMEN'S ADVANCED PRIMARY CARE, SOUTH HUNTINGTON
City : JAMAICA PLAIN
State : MA
Zip : 02130-4807
Country : US
Telephone Number : 857-307-3365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2010
Last Update Date : 09/14/2011

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