Individual
DR. DAVID J FEHNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ORTHOPEDIC DR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Mailing address
1 ORTHOPEDIC DR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
159972
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
159972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159972
TUFTS
MA
05
—
3197280
—
MA
01
—
J21222
BCBS
MA
Enumeration date
01/04/2006
Last updated
11/20/2009
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