Healthcare Provider Details

I. General information

NPI: 1689670770
Provider Name (Legal Business Name): HALBERT J FEINBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 BEECH ST
HOLYOKE MA
01040-2223
US

IV. Provider business mailing address

575 BEECH ST
HOLYOKE MA
01040-2223
US

V. Phone/Fax

Practice location:
  • Phone: 413-534-2516
  • Fax: 413-534-2754
Mailing address:
  • Phone: 413-534-2516
  • Fax: 413-534-2754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number132744
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number228792
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number132744
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number228792
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: