Provider Demographics
NPI:1073604278
Name:NEYMAN, FREYDA (MD)
Entity Type:Individual
Prefix:
First Name:FREYDA
Middle Name:
Last Name:NEYMAN
Suffix:
Gender:F
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 119
Mailing Address - Street 2:
Mailing Address - City:SOUTH ROYALTON
Mailing Address - State:VT
Mailing Address - Zip Code:05068-0119
Mailing Address - Country:US
Mailing Address - Phone:802-763-7575
Mailing Address - Fax:802-763-2190
Practice Address - Street 1:SOUTH ROYALTON HEALTH CENTER
Practice Address - Street 2:79 SOUTH WINDSOR ST
Practice Address - City:SOUTH ROYALTON
Practice Address - State:VT
Practice Address - Zip Code:05068-0119
Practice Address - Country:US
Practice Address - Phone:802-763-7575
Practice Address - Fax:802-763-2190
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042.0013538208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA418191Medicare ID - Type Unspecified
PAF87371Medicare UPIN