Individual
JONATHAN H FEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 QUEEN ANNE RD, TEANECK, NJ 07666-3316
(201) 692-1633
Mailing address
710 QUEEN ANNE RD, TEANECK, NJ 07666-3316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056916
NY
122300000X
Dentist
Primary
22DI02531800
NJ
Other
Enumeration date
05/02/2012
Last updated
10/10/2013
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