Provider Demographics
NPI:1386273803
Name:CHERFILS, FELERE (MD, PA)
Entity type:Individual
Prefix:
First Name:FELERE
Middle Name:
Last Name:CHERFILS
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:DR
Other - First Name:FELERE
Other - Middle Name:
Other - Last Name:CHERFILS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,PA
Mailing Address - Street 1:10 WYCKOFF DR
Mailing Address - Street 2:
Mailing Address - City:PITTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08867-4236
Mailing Address - Country:US
Mailing Address - Phone:786-201-4697
Mailing Address - Fax:
Practice Address - Street 1:10 WYCKOFF DR
Practice Address - Street 2:
Practice Address - City:PITTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08867-4236
Practice Address - Country:US
Practice Address - Phone:786-201-4697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-06
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ74383-07208600000X
PR000644-P.A.363A00000X
NJ000798363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No208600000XAllopathic & Osteopathic PhysiciansSurgery