Healthcare Provider Details

I. General information

NPI: 1033371950
Provider Name (Legal Business Name): GAIL J. FEINGOLD M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 BROOKLAWN DR
MORRIS PLAINS NJ
07950-3139
US

IV. Provider business mailing address

70 BROOKLAWN DR
MORRIS PLAINS NJ
07950-3139
US

V. Phone/Fax

Practice location:
  • Phone: 973-984-8085
  • Fax: 973-984-1241
Mailing address:
  • Phone: 973-984-8085
  • Fax: 973-984-1241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberMA04742600
License Number StateNJ

VIII. Authorized Official

Name: GAIL JUDITH FEINGOLD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 973-984-8085