Individual
MICHAEL JEROME FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-9297
(609) 754-9223
Mailing address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-9692
(609) 754-9223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004964
NY
363A00000X
Physician Assistant
Primary
25MP00438800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01531548
—
NY
Enumeration date
11/29/2005
Last updated
04/22/2022
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