Provider Demographics
NPI:1760472187
Name:FEIN, HOWARD K (DO)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:K
Last Name:FEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W ELM ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2007
Mailing Address - Country:US
Mailing Address - Phone:610-567-6967
Mailing Address - Fax:610-567-6170
Practice Address - Street 1:500 FAYETTE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1795
Practice Address - Country:US
Practice Address - Phone:610-825-3464
Practice Address - Fax:610-940-4466
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003103L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA006769970004Medicaid
PA100882STZMedicare PIN
PAC29972Medicare UPIN
PAP00199850Medicare PIN