Most Relevant Information
Provider Data
| NPI Number: | 1003424540 |
| Provider Name: | TRACIE FRIED |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 28RI02499000 |
Most Important Dates
| Enumeration Date: | 07/21/2020 |
| Last Updated: | 07/21/2020 |
Provider Practice Location
40 PARK AVE
PARK RIDGE
NJ
076561240
Practice Location Phone/Fax
| Phone: | 2015542200 |
| Fax: |
Provider Mailing Location
285 FERN ST
TOWNSHIP OF WASHINGTON
NJ
076765024
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |