Provider Demographics
NPI:1437908563
Name:FREEDMAN, STEPHANIE ERIN
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ERIN
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 FAIRLAND DR
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1326
Mailing Address - Country:US
Mailing Address - Phone:267-644-5326
Mailing Address - Fax:
Practice Address - Street 1:356 N POTTSTOWN PIKE FL 3
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2246
Practice Address - Country:US
Practice Address - Phone:610-723-8176
Practice Address - Fax:610-273-5598
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program