Provider Demographics
NPI:1518145010
Name:FREILICH, LINDA (MD, PA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:FREILICH
Suffix:
Gender:F
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:410-569-2724
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:410-569-2724
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD28339207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD12335OtherKAISER
82609OtherMAMSI
DCE0920001OtherFED BCBS
MD24705OtherAETNA
MD0400675OtherAMERICHOICE
MD494758OtherNCPPO
MD73617OtherAMERIGROUP
MD62380OtherCIGNA
MD31210001OtherBCBS MD
DCE092OtherBLUECHOICE
DCE092OtherBLUECHOICE
DCE0920001OtherFED BCBS