Provider Demographics
NPI:1295608073
Name:FRUCHT, DAVID MARTIN (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MARTIN
Last Name:FRUCHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5019 BURKE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-3305
Mailing Address - Country:US
Mailing Address - Phone:703-967-8550
Mailing Address - Fax:
Practice Address - Street 1:5019 BURKE DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-3305
Practice Address - Country:US
Practice Address - Phone:703-967-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101265545207RI0200X
NC52002207RI0200X
MDD0045638207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease