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Individual

DR. WALTER F FRICKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.AC, L.AC.

Contact information

Practice address
125 PROSPECT ST, SOUTH ORANGE, NJ 07079-1801
(201) 654-7415
Mailing address
5 ROOSEVELT PL APT 4S, MONTCLAIR, NJ 07042-3374
(201) 654-7415

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00038000
NJ
171100000X
Acupuncturist
DA00313
RI

Other

Enumeration date
10/27/2007
Last updated
09/12/2020
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