Individual
DR. NICOLAS FREDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
180 OLD TAPPAN RD STE 1A, OLD TAPPAN, NJ 07675-7052
(201) 768-0018
Mailing address
6 AMMERMAN WAY, CHESTER, NJ 07930-2214
(908) 295-6508
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
058633
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02593700
NJ
Other
Enumeration date
07/28/2016
Last updated
05/05/2020
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