Healthcare Provider Details

I. General information

NPI: 1013027002
Provider Name (Legal Business Name): NEW CASTLE ASSOCIATES IN PODIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 11/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 STANTON CHRISTIANA RD SUITE 303 METROFORM MEDICAL COMPLEX
NEWARK DE
19713-2133
US

IV. Provider business mailing address

620 STANTON CHRISTIANA RD SUITE 303 METROFORM MEDICAL COMPLEX
NEWARK DE
19713-2133
US

V. Phone/Fax

Practice location:
  • Phone: 302-999-8511
  • Fax: 302-999-8645
Mailing address:
  • Phone: 302-999-8511
  • Fax: 302-999-8645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE1-0000075
License Number StateDE

VIII. Authorized Official

Name: DR. RAYMOND V FEEHERY JR.
Title or Position: OWNER/PHYSCIAN
Credential: DPM
Phone: 302-999-8511