Provider Demographics
NPI:1063151652
Name:DANIEL FEGHHI MD
Entity type:Organization
Organization Name:DANIEL FEGHHI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FEGHHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:862-668-5061
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-0734
Mailing Address - Country:US
Mailing Address - Phone:973-546-3000
Mailing Address - Fax:
Practice Address - Street 1:2 E BLACKWELL ST STE 28
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-4645
Practice Address - Country:US
Practice Address - Phone:973-494-8244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1629480959OtherORTHOPAEDIC SURGERY