DR. Walter F Fricke, D.AC, L.AC.

NPI #1992984819 in South Orange, New Jersey

Provider Information

NPI Number: 1992984819
Entity Type: Individual
Name: DR. Walter F Fricke, D.AC, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: D.AC, L.AC.
Enumeration Date: Oct 27, 2007
Last Updated: Sep 12, 2020

Practice Location

Address: 125 PROSPECT ST
City: South Orange
State: New Jersey
ZIP Code: 07079-1801
Phone: (201) 654-7415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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