Individual
DR. JOSEPH MICHAEL FEAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
328128
LA
207Q00000X
Family Medicine Physician
25MB07815200
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A-1549-10
NM
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MB07815200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48328286
—
NM
Enumeration date
07/04/2006
Last updated
10/04/2022
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