Provider Demographics
NPI:1134112972
Name:FREELAND, CYNTHIA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:FREELAND
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 1:112C HOSLER ROAD
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603
Mailing Address - Country:US
Mailing Address - Phone:570-380-0441
Mailing Address - Fax:570-884-3372
Practice Address - Street 1:1372 N. SUSQUEHANNA TRAIL
Practice Address - Street 2:COURTYARD OFFICES : SUITE 350
Practice Address - City:SELINGSGROVE
Practice Address - State:PA
Practice Address - Zip Code:17870-8971
Practice Address - Country:US
Practice Address - Phone:272-202-5000
Practice Address - Fax:570-884-3372
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056954L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA869963M0AMedicare PIN
G27096Medicare UPIN