Individual
MICHAEL J. FELICETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1178 ROUTE 37 W, STE 1, TOMS RIVER, NJ 08755-4920
(732) 240-5677
(732) 240-0926
Mailing address
54 BEY LEA RD, STE 1, TOMS RIVER, NJ 08753-2978
(732) 505-9728
(732) 505-9787
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MD00111300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0990906
—
NJ
Enumeration date
04/06/2006
Last updated
03/23/2016
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