Individual
DR. BENNETT FEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PRISON RD, MEDICAL OFFICES - FOLSOM STATE PRISON, REPRESA, CA 95671-3001
(916) 985-2561
Mailing address
300 PRISON RD, MEDICAL OFFICES - FOLSOM STATE PRISON, REPRESA, CA 95671-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A635790
—
CA
Enumeration date
11/01/2006
Last updated
05/15/2010
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