Freeman, Jenny E

Freeman, Jenny E is an individual health care provider with primary practice located at 411 Waverly Oaks Rd #150, Waltham MA 02452-8448. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Freeman, Jenny E can be contacted via phone (781) 373-1636.

Contact Information

Primary practice address
411 Waverly Oaks Rd #150 Waltham MA 02452-8448
Fax: (781) 373-1653
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 152076 Massachusetts
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 152076 Massachusetts

Profile Details

NPI number 1396724415
LBN Legal business name Freeman, Jenny E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Nov 19th, 2015 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396724415 NPPES
Massachusetts MEDICAID 2010453
Massachusetts Other 772242
Massachusetts Other J18740
Massachusetts Other 304784

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