Provider Demographics
NPI:1619917408
Name:BUECHEL, FREDERICK F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:F
Last Name:BUECHEL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 W 13TH ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7702
Mailing Address - Country:US
Mailing Address - Phone:212-308-3089
Mailing Address - Fax:646-844-1396
Practice Address - Street 1:200 W 13TH ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7702
Practice Address - Country:US
Practice Address - Phone:212-308-3089
Practice Address - Fax:646-844-1396
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY281137207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY281137-01OtherNYS MEDICAL LICENSE
FLME80331OtherFLORIDA MEDICAL LICENSE
NJ25MA10727100OtherNJ MEDICAL LICENSE
CA138025OtherCALIFORNIA MEDICAL LICENSE
H29592Medicare UPIN