Provider Demographics
NPI:1417903790
Name:FREEMAN, JAMES J (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 110B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:4 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-1120
Practice Address - Country:US
Practice Address - Phone:610-967-4993
Practice Address - Fax:484-403-4020
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009668L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0848234000OtherAMERIHEALTH (IBC)
PA2529917OtherAETNA
PA843774OtherKEYSTONE CENTRAL
PA18368990003Medicaid
PA843774OtherAMERIHEALTH
PA843774OtherHIGHMARK BLUE SHIELD
PAP3172314OtherOXFORD
PA50014245OtherCAPITAL
PA0848234000OtherKEYSTONE EAST
PA110248389OtherRAILROAD MEDICARE
PA843774OtherHIGHMARK BLUE SHIELD
PA18368990003Medicaid