Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 72898 | MA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA07061100 | NJ |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 274495 | NY |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 72898 | MA |
NPI | 1245272749 |
---|---|
Provider Name | Dr. Bruce Brody Feinberg |
First Address | Boston, MA 02115-6110 |
Second Address | New York, NY 10032-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A00000 | (02) | MA |
C15601 | (02) | NJ |