Provider Demographics
NPI:1740801620
Name:FREEMAN, STEVEN CALEB (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:CALEB
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CALEB
Other - Middle Name:
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3400 CIVIC CENTER BLVD STE 1-330S
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5132
Mailing Address - Country:US
Mailing Address - Phone:215-360-0909
Mailing Address - Fax:
Practice Address - Street 1:3400 CIVIC CENTER BLVD STE 1-330S
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5132
Practice Address - Country:US
Practice Address - Phone:215-360-0909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program