Individual
DR. JERROLD FRUCHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
256 COLUMBIA TPKE, STE 211, FLORHAM PARK, NJ 07932-1231
(973) 301-0400
(973) 301-8928
Mailing address
39 BROWNING RD, SHORT HILLS, NJ 07078-1115
(973) 912-7219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5084
NJ
Other
Enumeration date
03/08/2007
Last updated
11/28/2018
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