MEDICARE: DR. CYNTHIA ANN FREELAND 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	207R00000X	Internal Medicine Physician	MD056954L	PA

General Provider Information

NPI Number	:	1134112972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA ANN FREELAND M.D.

Provider Business Mailing Address
First Line	:	112C HOSLER ROAD
Second Line	:
City	:	BERWICK
State	:	PA
Zip	:	18603
Country	:	US
Telephone Number	:	570-380-0441
Fax Number	:	570-884-3372

Provider Business Practice Location Address
First Line	:	1372 N. SUSQUEHANNA TRAIL
Second Line	:	COURTYARD OFFICES : SUITE 350
City	:	SELINGSGROVE
State	:	PA
Zip	:	17870-8971
Country	:	US
Telephone Number	:	272-202-5000
Fax Number	:	570-884-3372

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

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	10/08/2019

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