Individual
DANIEL ROQUE FELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 PRINCETON PIKE, BUILDING 3, SUITE D, LAWRENCEVILLE, NJ 08648-2300
(844) 464-6387
(215) 539-3037
Mailing address
ONE MEDICAL CENTER BLVD. ACP, SUITE 232, UPLAND, PA 19013-3902
(844) 464-6387
(215) 239-3037
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA10102100
NJ
207T00000X
Neurological Surgery Physician
MD460820
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0580431
—
NJ
Enumeration date
03/23/2011
Last updated
07/21/2022
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