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Individual

GREGORY A FREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4700 SMITH RD, SUITE L, CINCINNATI, OH 45212-2787
(513) 366-4000
(513) 366-4001
Mailing address
4700 SMITH RD, SUITE L, CINCINNATI, OH 45212-2787
(513) 366-4000
(513) 366-4001

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-04-1692
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0276946
OH
05
0550836
OH
01
3440011127
RAILROAD MEDICARE
KY
05
64206576
KY
01
P00013189
RAILROAD MEDICARE
OH
Enumeration date
06/10/2006
Last updated
02/05/2008
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