Provider Demographics
NPI:1326007832
Name:LINDA FREILICH M.D, P.A.
Entity Type:Organization
Organization Name:LINDA FREILICH M.D, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREILICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:410-569-2929
Mailing Address - Street 1:101 E WHEEL RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6114
Mailing Address - Country:US
Mailing Address - Phone:410-569-2929
Mailing Address - Fax:
Practice Address - Street 1:101 E WHEEL RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6114
Practice Address - Country:US
Practice Address - Phone:410-569-2929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD28339207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD82609OtherMAMSI
MD0400675OtherAMERICHOICE
MD73617OtherAMERIGROUP
DCE092OtherBLUECHOICE
MD494758OtherNCPPO
DCE0920001OtherFED BCBS
MD31210001OtherBCBS MD
MD12335OtherKAISER
MD24705OtherAETNA
MD62380OtherCIGNA
MD0400675OtherAMERICHOICE
MDB69469Medicare UPIN
MD3953Medicare ID - Type Unspecified