Provider Demographics
NPI:1609862648
Name:FEINBERG, STANFORD S (MD)
Entity Type:Individual
Prefix:DR
First Name:STANFORD
Middle Name:S
Last Name:FEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 REED AVENUE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610
Mailing Address - Country:US
Mailing Address - Phone:610-378-5566
Mailing Address - Fax:610-898-9075
Practice Address - Street 1:1001 REED AVENUE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610
Practice Address - Country:US
Practice Address - Phone:610-378-5566
Practice Address - Fax:610-898-9075
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0332662E2084N0400X, 2084S0012X
PAMD030662E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B97224Medicare UPIN
PAB97224Medicare UPIN