Provider Demographics
NPI:1356847651
Name:FEGHALY, JULIEN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JULIEN
Middle Name:
Last Name:FEGHALY
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 WEST 8TH ST UNIVERSITY OF FLORIDA COM JACKSONVILLE
Mailing Address - Street 2:BIN C-35
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-6511
Mailing Address - Country:US
Mailing Address - Phone:904-244-3932
Mailing Address - Fax:904-244-3629
Practice Address - Street 1:655 WEST 8TH ST UNIVERSITY OF FLORIDA COM JACKSONVILLE
Practice Address - Street 2:BIN C-35
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6511
Practice Address - Country:US
Practice Address - Phone:904-244-3932
Practice Address - Fax:904-244-3629
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN32158207RC0000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program