Provider Demographics
NPI:1053461467
Name:FEUER, ELIZABETH JANET (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JANET
Last Name:FEUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 DANA LN
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1305
Mailing Address - Country:US
Mailing Address - Phone:732-842-6499
Mailing Address - Fax:
Practice Address - Street 1:29 RTE. 34
Practice Address - Street 2:SUITE 116
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722
Practice Address - Country:US
Practice Address - Phone:732-780-9119
Practice Address - Fax:732-780-0343
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA392732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG75742Medicare UPIN