Fried, Mordechai

Fried, Mordechai is an individual health care provider with primary practice located at 67 State Route 36 , West Long Branch NJ 07764-1432. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Fried, Mordechai can be contacted via phone (732) 276-4869.

Contact Information

Primary practice address
67 State Route 36 West Long Branch NJ 07764-1432
Phone: (732) 276-4869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22DI02952800 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1992320378
LBN Legal business name Fried, Mordechai
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2020
Last updated May 28th, 2023 - about 2 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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