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NPI Code Detail

MEDICARE: DR. ANNETTE SYLVIA JOY FEIGENBAUM M.D.

MEDICARE: DR. ANNETTE SYLVIA JOY FEIGENBAUM M.D.
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
1207SG0207XMedical Biochemical GeneticsC54803CA

General Provider Information

NPI Number : 1902187859
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNETTE SYLVIA JOY FEIGENBAUM M.D.
Provider Business Mailing Address
First Line : 3020 CHILDRENS WAY # MC5003
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number : 858-309-6300
Fax Number :
Provider Business Practice Location Address
First Line : 7920 FROST ST STE 200
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4289
Country : US
Telephone Number : 858-576-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 04/25/2024

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