Fruchtman, William Charles

Fruchtman, William Charles is an sole proprietor health care provider with primary practice located at 196 Paterson Ave , East Rutherford NJ 07073-1841. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fruchtman, William Charles can be contacted via phone (201) 728-9222.

Contact Information

Primary practice address
196 Paterson Ave East Rutherford NJ 07073-1841
Phone: (201) 728-9222
Fax: (201) 728-9229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00514400 New Jersey

Profile Details

NPI number 1447200241
LBN Legal business name Fruchtman, William Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Feb 5th, 2019 - about 5 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 1447200241 NPPES
New Jersey MEDICAID 4590902

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