Individual
DR. DOUGLAS ROY FENKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
TENAFLY PEDIATRICS, P.A., 32 FRANKLIN STREET, TENAFLY, NJ 07670
(201) 569-2400
Mailing address
TENAFLY PEDIATRICS, P.A., 32 FRANKLIN STREET, TENAFLY, NJ 07670
(201) 652-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA059714
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222110646
BUSINESS TAX ID #
NJ
Enumeration date
03/20/2006
Last updated
07/28/2022
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