MEDICARE: DR. WILLIAM C FENG M.D., D.SC.

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	49112	CT

General Provider Information

NPI Number	:	1942280151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM C FENG M.D., D.SC.

Provider Business Mailing Address
First Line	:	32 STRAWBERRY HILL CT
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2594
Country	:	US
Telephone Number	:	203-276-4400
Fax Number	:	203-276-4401

Provider Business Practice Location Address
First Line	:	32 STRAWBERRY HILL CT
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2594
Country	:	US
Telephone Number	:	203-276-4400
Fax Number	:	203-276-4401

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	01/15/2016

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