Provider Demographics
NPI:1356346779
Name:FEINGOLD, DAVID ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:FEINGOLD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:35 JOLLEY DR
Mailing Address - Street 2:STE 101
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-4228
Mailing Address - Country:US
Mailing Address - Phone:860-243-3434
Mailing Address - Fax:860-243-0208
Practice Address - Street 1:701 COTTAGE GROVE RD
Practice Address - Street 2:STE F120
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3095
Practice Address - Country:US
Practice Address - Phone:860-243-3434
Practice Address - Fax:860-243-0208
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2018-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0351792081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001351791Medicaid
CT010035179CT03OtherBCBS
CT0187241OtherMASS. HEALTH
CTF68625Medicare UPIN
CT010035179CT03OtherBCBS