Basic Information
| Provider Information | |||||||||
| NPI: | 1962419572 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FEINERMAN | ||||||||
| FirstName: | LARRY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 US RT 130 N | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | CINNAMINSON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8568299345 | ||||||||
| FaxNumber: | 8568290580 | ||||||||
| Practice Location | |||||||||
| Address1: | KENNEDY HEALTH SYSTEM | ||||||||
| Address2: | 2201 CHAOEL AVE. | ||||||||
| City: | CHERRY HILL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8564886500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 25MA04385000 | NJ | Y | Other Service Providers | Specialist |
No ID Information.