Provider Demographics
NPI:1992134522
Name:FREY, BRUCE ERIC (DVM)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ERIC
Last Name:FREY
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ALPHA
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-4310
Mailing Address - Country:US
Mailing Address - Phone:908-454-8384
Mailing Address - Fax:908-454-2285
Practice Address - Street 1:334 3RD AVE
Practice Address - Street 2:
Practice Address - City:ALPHA
Practice Address - State:NJ
Practice Address - Zip Code:08865-4310
Practice Address - Country:US
Practice Address - Phone:908-454-8384
Practice Address - Fax:908-454-2285
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00323300174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian