Individual
BENJAMIN FREIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 MAIN ST, WEST ORANGE, NJ 07052-5301
(973) 731-1234
(973) 731-0022
Mailing address
20 MAIN ST, WEST ORANGE, NJ 07052-5301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03029500
NJ
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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