Individual
MICHAEL J FEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 231-7000
Mailing address
PO BOX 1230, STATE COLLEGE, PA 16804-1230
(814) 235-3898
(814) 235-3899
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD051562L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014420990007
—
PA
01
—
464865
HIGHMARK BLUE SHIELD
PA
01
—
50039940
CAPITAL BLUE CROSS
PA
01
—
51689
GEISINGER HEALTH PLAN
PA
Enumeration date
07/12/2006
Last updated
07/08/2007
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