Healthcare Provider Details

I. General information

NPI: 1689639668
Provider Name (Legal Business Name): RONALD F FEINBERG MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4735 OGLETOWN STANTON RD SUITE 3217
NEWARK DE
19713-2072
US

IV. Provider business mailing address

4735 OGLETOWN STANTON RD SUITE 3217
NEWARK DE
19713-2072
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-4244
  • Fax: 302-623-4241
Mailing address:
  • Phone: 302-623-4244
  • Fax: 302-623-4241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberC10004849
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: