Provider Demographics
NPI:1598878738
Name:FREEDMAN, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 HIGHLAND AVE
Mailing Address - Street 2:SUITE 20
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-1783
Mailing Address - Country:US
Mailing Address - Phone:978-744-1177
Mailing Address - Fax:978-910-0125
Practice Address - Street 1:400 HIGHLAND AVE
Practice Address - Street 2:SUITE 20
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-1783
Practice Address - Country:US
Practice Address - Phone:978-744-1177
Practice Address - Fax:978-910-0125
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2021-12-30
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Provider Licenses
StateLicense IDTaxonomies
MA37309207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9745637Medicaid
MA1700086352OtherGROUP NPI
MA1700086352OtherGROUP NPI
MAM14213Medicare ID - Type Unspecified