Provider Demographics
NPI:1922039965
Name:FENESY, CHRISTOPHER J (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:FENESY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1704 MIRAMONTE AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3718
Mailing Address - Country:US
Mailing Address - Phone:650-625-8711
Mailing Address - Fax:650-625-8727
Practice Address - Street 1:1704 MIRAMONTE AVE STE 7
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3718
Practice Address - Country:US
Practice Address - Phone:650-625-8711
Practice Address - Fax:650-625-8727
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA000E25060213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist