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NPI Code Detail

MEDICARE: JAY IRA FREID MD

MEDICARE: JAY IRA FREID 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
1208100000XPhysical Medicine & Rehabilitation PhysicianC10005009DE

General Provider Information

NPI Number : 1649277005
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY IRA FREID MD
Provider Business Mailing Address
First Line : 2501 PARKERS LN
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3209
Country : US
Telephone Number : 702-664-7285
Fax Number :
Provider Business Practice Location Address
First Line : 2501 PARKERS LN
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3209
Country : US
Telephone Number : 703-664-7285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 12/11/2025

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Directions to “ JAY IRA FREID MD” Practice Location

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