NPI 1003028200

Justin Jay Fried, DDS

Practitioner Dentist Maplewood, NJ

Practice location

Address: 2168 Millburn Ave Suite 201, Maplewood, NJ 07040-2640
Phone: (973) 763-0808
Fax: (973) 763-0270

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DI 20875 (NJ)

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Registry record

NPI: 1003028200
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.