Provider Demographics
NPI:1265588552
Name:FRECH, GREGORY CHRISTOHPER (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:CHRISTOHPER
Last Name:FRECH
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 1:1000 FELL ST
Mailing Address - Street 2:UNIT 427
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3529
Mailing Address - Country:US
Mailing Address - Phone:410-818-9586
Mailing Address - Fax:
Practice Address - Street 1:MARBURG B186
Practice Address - Street 2:600 NORTH WOLF STREET
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-955-2280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT4917282N00000X
UT7046201-1205207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No282N00000XHospitalsGeneral Acute Care Hospital