Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 25MA04798600 | NJ |
NPI | 1013998210 |
---|---|
Provider Name | Deborah A Fein |
First Address | Englewood, NJ 07631-2533 |
Second Address | Englewood, NJ 07631-2533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 18/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0520004 | (05) | NJ |
0K03261 | HEALTH NET (01) | NJ |
412636 | CIGNA (01) | NJ |
BP295 | OXFORD HEALTH (01) | NJ |
D18508 | (02) | NJ |