Individual
DR. PAUL FELLENBAUM
Active
Individual
DR. PAUL FELLENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA47061
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA4706100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
503453
MEDICARE PTAN
NJ
05
—
766500
—
NJ
Enumeration date
04/20/2006
Last updated
05/07/2013
Update your record
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