Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS-017413-L | PA |
NPI | 1043413313 |
---|---|
Provider Name | Dr. Bernard Feinstein |
First Address | Vineland, NJ 08361-6738 |
Second Address | Philadelphia, PA 19140-5007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 23/07/2007 |