MEDICARE: DR. MICHAEL FEINBERG MD, PHD

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	2084P0800X	Psychiatry Physician	MD-035853-E	PA
2	2084P0800X	Psychiatry Physician	4301034021	MI

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	:	1972508612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL FEINBERG MD, PHD

Provider Business Mailing Address
First Line	:	7105 MCCALLUM ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-2936
Country	:	US
Telephone Number	:	215-248-0980
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 BALA AVE
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-3201
Country	:	US
Telephone Number	:	215-327-1565
Fax Number	:	610-664-5599

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	02/12/2010

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