Healthcare Provider Details

I. General information

NPI: 1417134693
Provider Name (Legal Business Name): MICHAEL Z FEIN DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

488 MAIN AVE
NORWALK CT
06851-1008
US

IV. Provider business mailing address

PO BOX 825159
PHILADELPHIA PA
19182-5159
US

V. Phone/Fax

Practice location:
  • Phone: 203-721-7861
  • Fax:
Mailing address:
  • Phone: 203-838-0442
  • Fax: 203-838-9431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0000654
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0000654
License Number StateCT

VIII. Authorized Official

Name: MICHAEL Z FEIN
Title or Position: OWNER
Credential:
Phone: 203-743-7083