Provider Demographics
NPI:1063517860
Name:FELDAN, PAUL E (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:E
Last Name:FELDAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 BIRCHFIELD DRIVE
Mailing Address - Street 2:SUITE 1004
Mailing Address - City:MT. LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054
Mailing Address - Country:US
Mailing Address - Phone:856-866-1557
Mailing Address - Fax:856-231-7955
Practice Address - Street 1:1000 BIRCHFIELD DRIVE
Practice Address - Street 2:SUITE 1004
Practice Address - City:MT. LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054
Practice Address - Country:US
Practice Address - Phone:856-866-1557
Practice Address - Fax:856-231-7955
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2012-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05292300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC31789Medicare UPIN
C31789Medicare UPIN