Provider Demographics
NPI:1891860581
Name:ROBERT S FEINS MD PROF ASSN
Entity Type:Organization
Organization Name:ROBERT S FEINS MD PROF ASSN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:FEINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-647-4430
Mailing Address - Street 1:144 TARRYTOWN ROAD
Mailing Address - Street 2:DOCTORS PARK
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2713
Mailing Address - Country:US
Mailing Address - Phone:603-647-4430
Mailing Address - Fax:603-647-4877
Practice Address - Street 1:144 TARRYTOWN ROAD
Practice Address - Street 2:DOCTORS PARK
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2713
Practice Address - Country:US
Practice Address - Phone:603-647-4430
Practice Address - Fax:603-647-4877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7776208200000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
Not Answered2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80009569Medicaid
NHNH9569Medicare ID - Type Unspecified
NH80009569Medicaid