Provider Demographics
NPI:1174735732
Name:FREEDLANDER, DEAN GARY (MD)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:GARY
Last Name:FREEDLANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 330459
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-0459
Mailing Address - Country:US
Mailing Address - Phone:415-399-0642
Mailing Address - Fax:415-397-6941
Practice Address - Street 1:735 MONTGOMERY ST
Practice Address - Street 2:STE 300
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-2116
Practice Address - Country:US
Practice Address - Phone:415-399-0642
Practice Address - Fax:415-397-6941
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG0354872084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
94-3011947OtherTAX ID