| Glenn Freed Do Pc | |
|
100 Schuylkill Medical Plz Suite 101 Pottsville PA 17901-3663 | |
| (570) 622-3366 | |
| (570) 622-6638 |
| Full Name | Glenn Freed Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Schuylkill Medical Plz, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Glenn Freed (OWNER) |
| Authorized Official Contact | 5706223366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Freed Do Pc 100 Schuylkill Medical Plz Suite 101 Pottsville PA 17901-3663 Ph: (570) 622-3366 | Glenn Freed Do Pc 100 Schuylkill Medical Plz Suite 101 Pottsville PA 17901-3663 Ph: (570) 622-3366 |
| NPI Number | 1013988740 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 10/18/2007 |
| Medicare PECOS PAC ID | 5597716613 |
|---|---|
| Medicare Enrollment ID | O20050207000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013988740 | NPI | - | NPPES |
| 02700200 | Other | PA | CAPITAL BLUE CROSS |
| 1677099 | Other | HIGHMARK BS | |
| P00178931 | Other | PA | TRAVELERS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Glenn S Freed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407841067 PECOS PAC ID: 8921059049 Enrollment ID: I20050207000517 |
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