Fiesseler, Frederick

Fiesseler, Frederick is an individual health care provider with primary practice located at 100 Madison Ave , Morristown NJ 07960-6136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fiesseler, Frederick can be contacted via phone (800) 290-5309.

Contact Information

Primary practice address
100 Madison Ave Morristown NJ 07960-6136
Fax: (803) 434-4354
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MB71344 New Jersey

Profile Details

NPI number 1033177415
LBN Legal business name Fiesseler, Frederick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033177415 NPPES
New Jersey MEDICAID 8363706

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