MR. MARK W FREEDMAN PAC
NPI 1609915107
Physician Assistant - Medical in Quincy, MA
Active since February 05, 2007
About Mr. Mark W Freedman Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK W FREEDMAN PAC (NPI 1609915107) is an individual medical provider in Quincy, Massachusetts, licensed in Massachusetts (220) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1609915107
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MARK W FREEDMANCredential: PAC
Location Address1157 HANCOCK STQuincy, MA 02169-4303
Mailing Address119a Hawkins StPlainville, MA 02762-2306 · (508) 643-2297
Phone(617) 786-0141
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609915107 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · 220
1157 HANCOCK ST, Quincy, MA 02169
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609915107, enumerated as an "individual" on February 05, 2007.
The provider is located at 1157 HANCOCK ST QUINCY, MA 02169 and the phone number is (617) 786-0141.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
