Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 1466681 | NJ |
NPI | 1063452514 |
---|---|
Provider Name | Dr. Arno H Fried |
First Address | Rutherford, NJ 07070 |
Second Address | Rutherford, NJ 07070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 03/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C32752 | (02) | NJ |