Provider Demographics
NPI:1144210956
Name:FREIBERG, ANDREW ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ALBERT
Last Name:FREIBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-8575
Mailing Address - Fax:617-726-8770
Practice Address - Street 1:55 FRUIT STREET YAW 3918
Practice Address - Street 2:ORTHOPAEDIC ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-8575
Practice Address - Fax:617-726-8770
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2012-11-26
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Provider Licenses
StateLicense IDTaxonomies
MA79510207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3209407Medicaid
MAJ22327OtherBCBS MA
MA079510OtherTUFTS HEALTH PLAN
MA079510OtherTUFTS HEALTH PLAN
MAA31287Medicare ID - Type Unspecified