Individual
DR. EMMET THEODORE FENICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 LEONARDVILLE RD, MIDDLETOWN, NJ 07748-2311
(732) 671-0860
Mailing address
18 LEONARDVILLE RD, MIDDLETOWN, NJ 07748-2311
(732) 671-0860
(732) 671-6467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10649000
NJ
Other
Enumeration date
03/21/2017
Last updated
07/16/2020
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