Healthcare Provider Details

I. General information

NPI: 1609862648
Provider Name (Legal Business Name): STANFORD S FEINBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 04/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 REED AVENUE
WYOMISSING PA
19610
US

IV. Provider business mailing address

1001 REED AVENUE SUITE 408
WYOMISSING PA
19610
US

V. Phone/Fax

Practice location:
  • Phone: 610-378-5566
  • Fax: 610-898-9075
Mailing address:
  • Phone: 610-378-5566
  • Fax: 610-898-9075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD0332662E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberMD0332662E
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD030662E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: