Provider Demographics
NPI:1740233675
Name:FREEMAN, ADRIANA (MD)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LYONS ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-5599
Mailing Address - Country:US
Mailing Address - Phone:781-493-3600
Mailing Address - Fax:781-329-6479
Practice Address - Street 1:1 LYONS ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-5599
Practice Address - Country:US
Practice Address - Phone:781-493-3600
Practice Address - Fax:781-329-6479
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220695207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0032970OtherNEIGHBORHOOD HEALTH PLAN
MA469249OtherTUFTS HEALTH PLAN
MA6995685OtherCIGNA
MAAA12708OtherHARVARD PILGRIM
MAJ27510OtherBLUE CROSS
MA2064103Medicaid
MAAA12708OtherHARVARD PILGRIM
MANX3052Medicare PIN