MEDICARE: DR. JOHN P FELTZ MD

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	207V00000X	Obstetrics & Gynecology Physician	MA40563	NJ

General Provider Information

NPI Number	:	1619928934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN P FELTZ MD

Provider Business Mailing Address
First Line	:	111 MADISON AVE
Second Line	:	SUITE 308
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6097
Country	:	US
Telephone Number	:	973-285-0401
Fax Number	:	973-285-9848

Provider Business Practice Location Address
First Line	:	111 MADISON AVE
Second Line	:	SUITE 308
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6097
Country	:	US
Telephone Number	:	973-285-0401
Fax Number	:	973-285-9848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	08/03/2010

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