Provider Demographics
NPI:1770538894
Name:BUECHEL, FREDERICK F SR (MD)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:F
Last Name:BUECHEL
Suffix:SR
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 1:61 1ST ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1900
Mailing Address - Country:US
Mailing Address - Phone:973-762-8344
Mailing Address - Fax:973-762-1626
Practice Address - Street 1:61 1ST ST
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1900
Practice Address - Country:US
Practice Address - Phone:973-762-8344
Practice Address - Fax:973-762-1626
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA26562207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1997009Medicaid
NJ260070395OtherHORIZON
C60357Medicare UPIN
NJ36777SGHMedicare ID - Type Unspecified