MEDICARE: JOSEPH G FEGHALI MD, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	14782	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285841031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH G FEGHALI MD, INC

Provider Business Mailing Address
First Line	:	2000 HAMPTON CTR STE D
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1704
Country	:	US
Telephone Number	:	304-599-6627
Fax Number	:	304-599-1437

Provider Business Practice Location Address
First Line	:	2000 HAMPTON CTR STE D
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1704
Country	:	US
Telephone Number	:	304-599-6627
Fax Number	:	304-599-1437

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH G FEGHALI
Credential	:	MD
Telephone Number	:	304-599-6627

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	08/22/2020

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