Provider Demographics
NPI:1861413973
Name:FRIDEL, WILLIAM JOSEPH III (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:FRIDEL
Suffix:III
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:6 RUSSELL CT
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-7100
Mailing Address - Country:US
Mailing Address - Phone:732-826-6932
Mailing Address - Fax:732-826-6936
Practice Address - Street 1:306 US HIGHWAY 9 N
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1004
Practice Address - Country:US
Practice Address - Phone:732-826-6932
Practice Address - Fax:732-826-6936
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA005921152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist