Provider Demographics
NPI:1306805015
Name:FEINGOLD, MARC B (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:B
Last Name:FEINGOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:420 BRIDGE PLAZA DRIVE
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726
Mailing Address - Country:US
Mailing Address - Phone:732-536-8008
Mailing Address - Fax:732-536-8849
Practice Address - Street 1:420 BRIDGE PLAZA DRIVE
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-2524
Practice Address - Country:US
Practice Address - Phone:732-536-8008
Practice Address - Fax:732-536-8849
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213389207Q00000X
NJ25MA08475500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ149659Medicare PIN