Individual
DR. JOSEPH S FRUCHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
885 MAIN STREET, HACKENSACK, NJ 07601
(201) 487-3957
(201) 487-3009
Mailing address
885 MAIN STREET, HACKENSACK, NJ 07601
(201) 487-3957
(201) 487-3009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA31858
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0379808
—
NJ
Enumeration date
07/10/2006
Last updated
07/08/2007
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