Provider Demographics
NPI:1912148818
Name:FELDMAN, BARTON M (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:BARTON
Middle Name:M
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 ANNA PL
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07063-1601
Mailing Address - Country:US
Mailing Address - Phone:908-757-4779
Mailing Address - Fax:
Practice Address - Street 1:120 CEDAR GROVE LN
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-6462
Practice Address - Country:US
Practice Address - Phone:732-271-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01093800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist