Provider Demographics
NPI:1265764120
Name:FREEDLANDER, AARON R (BOCPO)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:R
Last Name:FREEDLANDER
Suffix:
Gender:M
Credentials:BOCPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2693 FOREST HILLS RD SW
Mailing Address - Street 2:STE E
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-8611
Mailing Address - Country:US
Mailing Address - Phone:252-991-6109
Mailing Address - Fax:252-991-6110
Practice Address - Street 1:2693 FOREST HILLS RD SW
Practice Address - Street 2:STE E
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-8611
Practice Address - Country:US
Practice Address - Phone:252-991-6109
Practice Address - Fax:252-991-6110
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC36329222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist