Provider Demographics
NPI:1760589857
Name:FREEMAN, ANN (DO)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 S 17TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6709
Mailing Address - Country:US
Mailing Address - Phone:610-434-4015
Mailing Address - Fax:610-435-4821
Practice Address - Street 1:322 S 17TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6709
Practice Address - Country:US
Practice Address - Phone:610-434-4015
Practice Address - Fax:610-435-4821
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009654L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH34912Medicare UPIN
PA047147Medicare PIN