Freed, Gary Leland
Freed, Gary Leland is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc Plastic Surgery, Lebanon NH 03756-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Freed, Gary Leland can be contacted via phone (603) 650-5148.Contact Information
Primary practice address
1 Medical Center Dr Dhmc Plastic Surgery
Lebanon NH 03756-1000
Phone: (603) 650-5148
Fax: (603) 650-8456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 15218 | New Hampshire |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 15218 | New Hampshire |
Profile Details
| NPI number | 1023284148 |
|---|---|
| LBN Legal business name | Freed, Gary Leland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2008 |
| Last updated | May 22nd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023284148 | NPPES |
| Massachusetts | MEDICAID | 110090698A | |
| Massachusetts | MEDICAID | 1019432 | |
| Massachusetts | MEDICAID | 32000757 |
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