Individual
DR. DAVID G FREAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 BRANDERMILL BLVD, SUITE 250, GAMBRILLS, MD 21054-1690
(410) 721-1507
(410) 721-1510
Mailing address
PO BOX 64618, BALTIMORE, MD 21264-4618
(443) 481-6577
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D35601
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
—
01
—
2133457
MAMSI
—
01
—
279481100
AMERIGROUP
—
05
—
279481100
—
MD
01
—
3669179
AETNA HMO
—
01
—
42441609
BCBS
—
01
—
5802069
AETNA PPO
—
01
—
609636400
FEDERAL WORKMANS COMP
—
Enumeration date
08/31/2005
Last updated
02/02/2011
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