Provider Demographics
NPI:1447259049
Name:FREEDMAN, ALLAN PERRY (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:PERRY
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-663-9095
Mailing Address - Fax:215-663-9578
Practice Address - Street 1:445 SHADY LN
Practice Address - Street 2:2ND FL
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8749
Practice Address - Country:US
Practice Address - Phone:215-663-9095
Practice Address - Fax:215-663-9578
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-014518-E207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA064056OtherBLUE SHIELD
PA1010133OtherKEYSTONE MERCY
PA2122875OtherAETNA
PAC28697OtherHEALTH PARTNERS
PACD4829OtherRR MEDICARE GROUP TPI
PA00694879-05OtherHMA
PA0006948790007-0005Medicaid
PA597586OtherMEDICARE GROUP
PA0061609000OtherKEYSTONE
PA220025653OtherRAILROAD MEDICARE
PA236957005OtherCIGNA
PAPHS228OtherOXFORD
PA174375OtherOAKTREE
NJ5225205OtherMEDICAID
PA2Y8051OtherHEALTH NET
PAP00721315OtherRR MEDICARE INDIVIDUAL
PAC28697Medicare UPIN
PA0061609000OtherKEYSTONE
PA064056M7EMedicare ID - Type Unspecified