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NPI Code Detail

MEDICARE: DR. KATHERINE JEN FREEDBERG MD

MEDICARE: DR. KATHERINE JEN FREEDBERG 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 PhysicianMD495733PA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417642158
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE JEN FREEDBERG MD
Provider Business Mailing Address
First Line : 833 CHESTNUT ST STE 220
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-4405
Country : US
Telephone Number : 215-955-8465
Fax Number : 215-955-2516
Provider Business Practice Location Address
First Line : 833 CHESTNUT ST STE 220
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-4405
Country : US
Telephone Number : 215-955-8465
Fax Number : 215-955-2516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2023
Last Update Date : 05/25/2026

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