Fellenbaum, Paul
Fellenbaum, Paul is an individual health care provider with primary practice located at 285 Davidson Ave Suite 204, Somerset NJ 08873-4153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fellenbaum, Paul can be contacted via phone (732) 271-1400.Contact Information
Primary practice address
285 Davidson Ave Suite 204
Somerset NJ 08873-4153
Phone: (732) 271-1400
Fax: (732) 271-3543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MA47061 | New Jersey |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 25MA4706100 | New Jersey |
Profile Details
| NPI number | 1922063031 |
|---|---|
| LBN Legal business name | Fellenbaum, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | May 7th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922063031 | NPPES |
| New Jersey | Other | 503453 | MEDICARE PTAN |
| New Jersey | MEDICAID | 766500 | MEDICARE PTAN |
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