NPI 1073931564 · live from the CMS NPI Registry
Marianna Freudzon, MD
Dermatology in New Haven, CT. National Provider Identifier 1073931564, active.
NPI record
| NPI | 1073931564 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 333 Cedar St, Yusm Department Of Dermatology, New Haven, CT 06510 |
| Practice phone | 203-785-4632 |
| Mailing address | 3495 Piedmont Rd Ne Bldg 91, Atlanta, GA 30305 |
| Enumerated | April 1, 2014 |
| Last updated | January 7, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 60476 (CT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dermatology primary | 207N00000X | 083125 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.