Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 25MA04161300 | NJ |
Y | 207X00000X | Orthopaedic Surgeon | 25MA04161300 | NJ |
NPI | 1619990371 |
---|---|
Provider Name | Dr. David J Feldman |
First Address | Dover, NJ 07801-1629 |
Second Address | Denville, NJ 07834-2901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 22/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2048205 | (05) | NJ |
C53483 | (02) | NJ |