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NPI Code Detail

MEDICARE: MR. EDWARD FREEDMAN

MEDICARE: MR. EDWARD FREEDMAN
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1962660837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD FREEDMAN
Provider Business Mailing Address
First Line : 106 DUNK ROCK RD
Second Line :
City : GUILFORD
State : CT
Zip : 06437-2511
Country : US
Telephone Number : 203-458-0356
Fax Number : 203-458-0356
Provider Business Practice Location Address
First Line : 3 S WIG HILL RD
Second Line :
City : CHESTER
State : CT
Zip : 06412-1106
Country : US
Telephone Number : 860-526-5316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2008
Last Update Date : 05/28/2008

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