Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 25MD00101300 | NJ |
NPI | 1396714457 |
---|---|
Provider Name | Dr. David Mark Feingold |
First Address | Iselin, NJ 08830 |
Second Address | Iselin, NJ 08830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 01/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T73115 | (02) | NJ |