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NPI Code Detail

MEDICARE: JOSEPH FEASTER D.P.T.

MEDICARE:   JOSEPH  FEASTER  D.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA01681500NJ

General Provider Information

NPI Number : 1790231819
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH FEASTER D.P.T.
Provider Business Mailing Address
First Line : 1372 ROUTE 9
Second Line : BUILDING #2
City : TOMS RIVER
State : NJ
Zip : 08755-4038
Country : US
Telephone Number : 732-240-9296
Fax Number : 732-240-9297
Provider Business Practice Location Address
First Line : 1372 ROUTE 9
Second Line : BUILDING #2
City : TOMS RIVER
State : NJ
Zip : 08755-4038
Country : US
Telephone Number : 732-240-9296
Fax Number : 732-240-9297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2016
Last Update Date : 08/29/2016

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Directions to “ JOSEPH FEASTER D.P.T.” Practice Location

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