Organization
DAVID M. FENIGER
Active
Other names
BROADWAY PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL FENIGER P.T. (OWNER)
(201) 437-0313
Entity
Organization
Contact information
Practice address
1039 AVENUE C, BAYONNE, NJ 07002-3217
(201) 437-0313
(201) 437-3811
Mailing address
1039 AVENUE C, BAYONNE, NJ 07002-3217
(201) 437-0313
(201) 437-3811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA03000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040050
ORTHONET (CIGNA)
NJ
01
—
0040052
ORTHONET (AETNA)
NJ
01
—
123521
AETNA HEALTH PLANS
NJ
01
—
235288
UNITED HEALTHCARE
NJ
01
—
ANC840
ORTHONET (OXFORD)
NJ
Enumeration date
06/11/2007
Last updated
09/12/2014
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