Individual
FREDERICK FIESSELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(800) 290-5309
(803) 434-4354
Mailing address
PO BOX 7313, COLUMBIA, SC 29202-7313
(800) 290-5309
(803) 434-4354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MB71344
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8363706
—
NJ
Enumeration date
05/03/2006
Last updated
10/18/2012
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