Provider Demographics
NPI:1750377669
Name:FREEDMAN, MICHAEL STUART (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STUART
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:477 SOUTHWICK RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4734
Mailing Address - Country:US
Mailing Address - Phone:413-562-5256
Mailing Address - Fax:413-736-4875
Practice Address - Street 1:477 SOUTHWICK RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-4734
Practice Address - Country:US
Practice Address - Phone:413-562-5256
Practice Address - Fax:413-736-4875
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2012-02-24
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Provider Licenses
StateLicense IDTaxonomies
MA209713208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0158160Medicaid