Healthcare Provider Details
I. General information
NPI: 1225060130
Provider Name (Legal Business Name): CRAIG STEVEN FEINMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/07/2006
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
938 OLD YORK RD
ABINGTON PA
19001-4703
US
IV. Provider business mailing address
5000 COX RD
GLEN ALLEN VA
23060-9263
US
V. Phone/Fax
- Phone: 267-620-0237
- Fax:
- Phone: 804-968-5700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | OS006210L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: