Healthcare Provider Details

I. General information

NPI: 1174136196
Provider Name (Legal Business Name): STEPHEN H. FEHNEL MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 PENN AVE
WEST READING PA
19611-1006
US

IV. Provider business mailing address

410 N TULPEHOCKEN RD
READING PA
19601-1077
US

V. Phone/Fax

Practice location:
  • Phone: 610-376-3700
  • Fax: 610-685-1567
Mailing address:
  • Phone: 610-451-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN H. FEHNEL
Title or Position: MEMBER
Credential: MD
Phone: 610-451-0020