Provider Demographics
NPI:1578049920
Name:FREEMAN, GEORGE MOROCCO SR
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:MOROCCO
Last Name:FREEMAN
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1554 E 85TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3706
Mailing Address - Country:US
Mailing Address - Phone:216-450-0055
Mailing Address - Fax:
Practice Address - Street 1:1554 E 85TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-3706
Practice Address - Country:US
Practice Address - Phone:216-450-0055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer