Provider Demographics
NPI:1548263650
Name:FREEDMAN, DAVID J (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 825159
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-5159
Mailing Address - Country:US
Mailing Address - Phone:301-933-7133
Mailing Address - Fax:301-933-7137
Practice Address - Street 1:3801 INTERNATIONAL DR
Practice Address - Street 2:SUITE 204
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-1550
Practice Address - Country:US
Practice Address - Phone:301-598-0130
Practice Address - Fax:301-598-5091
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2025-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD00967213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD479188600Medicaid
T31213Medicare UPIN
DC5068600001Medicare NSC
DC426040YFCTMedicare PIN