Provider Demographics
NPI:1124013602
Name:FRIEDEL, WALTER E (MD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:E
Last Name:FRIEDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 ROUTE 46
Mailing Address - Street 2:BLDG 3 STE 314
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4913
Mailing Address - Country:US
Mailing Address - Phone:973-316-9800
Mailing Address - Fax:973-316-9805
Practice Address - Street 1:1259 ROUTE 46
Practice Address - Street 2:BLDG 3 STE 314
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4913
Practice Address - Country:US
Practice Address - Phone:973-316-9800
Practice Address - Fax:973-316-9805
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03144700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ022468Medicare ID - Type Unspecified
NJC52797Medicare UPIN