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Individual
GERALD E FREY JR.
Active
Individual
GERALD E FREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002608
MD
363A00000X
Physician Assistant
OA003097
PA
363AM0700X
Medical Physician Assistant
MA051226
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00122897
RR MEDICARE
MD
01
—
P00670464
RR MEDICARE
PA
Enumeration date
07/20/2006
Last updated
04/07/2022
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