Provider Demographics
NPI:1043526916
Name:FREITAS, SONIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:FREITAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:798 DORCHESTER AVE
Mailing Address - Street 2:UNIT #2
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1171
Mailing Address - Country:US
Mailing Address - Phone:508-496-4825
Mailing Address - Fax:
Practice Address - Street 1:301 S HUNTINGTON AVE
Practice Address - Street 2:BRIGHAM WOMEN'S ADVANCED PRIMARY CARE, SOUTH HUNTINGTON
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-4807
Practice Address - Country:US
Practice Address - Phone:857-307-3365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-29
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist