Provider Demographics
NPI:1427138882
Name:FEENEY, CHARLEE W (DO)
Entity type:Individual
Prefix:
First Name:CHARLEE
Middle Name:W
Last Name:FEENEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3131
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-6131
Mailing Address - Country:US
Mailing Address - Phone:732-974-8011
Mailing Address - Fax:732-974-8820
Practice Address - Street 1:425 JACK MARTIN BLVD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7732
Practice Address - Country:US
Practice Address - Phone:732-974-8011
Practice Address - Fax:732-974-8820
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB080111002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD08876300OtherNJ STATE CDS NUMBER
NJ25MB08011100OtherNJ STATE LICENSE
NJ25MB08011100OtherNJ STATE LICENSE