Healthcare Provider Details

I. General information

NPI: 1790867174
Provider Name (Legal Business Name): MARGARET E FEENEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE., BUILDING 3, ROOM 525 UCSF DIVISION OF EXPERIMENTAL MEDICINE
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

1001 POTRERO AVE., BUILDING 3, ROOM 525 UCSF DIVISION OF EXPERIMENTAL MEDICINE
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-8218
  • Fax: 415-206-8091
Mailing address:
  • Phone: 415-206-8218
  • Fax: 415-206-8091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number160063
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number64895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: