Individual
JOHN M FEEHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2112 PROVIDENCE AVE, CHESTER, PA 19013
(610) 874-5366
(610) 874-8448
Mailing address
2112 PROVIDENCE AVE, CHESTER, PA 19013
(610) 874-5366
(610) 874-8448
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD068058L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000927260
IBC PPO
PA
01
—
0878208000
IBC HMO
PA
Enumeration date
10/18/2006
Last updated
12/19/2009
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