Provider Demographics
NPI:1679545867
Name:FREITAG, GREGORY H (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:H
Last Name:FREITAG
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 1:3259 CATLIN AVE
Mailing Address - Street 2:
Mailing Address - City:QUANTICO
Mailing Address - State:VA
Mailing Address - Zip Code:22134
Mailing Address - Country:US
Mailing Address - Phone:703-784-1725
Mailing Address - Fax:
Practice Address - Street 1:BHC WASHINGTON NAVY YARD
Practice Address - Street 2:915 N STREET SE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20374
Practice Address - Country:US
Practice Address - Phone:202-433-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235613207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine