Individual
DR. MICHAEL WILLIAM FREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
557 BROAD ST, BLOOMFIELD, NJ 07003-2885
(973) 748-2248
(973) 748-7004
Mailing address
557 BROAD ST, BLOOMFIELD, NJ 07003-2885
(973) 748-2248
(973) 748-7004
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22D101357202
NJ
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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