Provider Demographics
NPI:1124109343
Name:FEUERSTEIN, RUTH GWENETTE (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:GWENETTE
Last Name:FEUERSTEIN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1345
Mailing Address - Country:US
Mailing Address - Phone:732-792-3864
Mailing Address - Fax:732-792-3864
Practice Address - Street 1:14 WASHINGTON ROAD, BLDG 2
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550
Practice Address - Country:US
Practice Address - Phone:609-275-8886
Practice Address - Fax:609-936-7247
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO08704700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NO08704700OtherRN LICENSE