Bryan William Fennelly in Madison - Psychiatry
Bryan William Fennelly - NPI 1669588406
Bryan William Fennelly is a Psychiatry in Madison, New Jersey. Bryan William Fennelly practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Bryan William Fennelly is 1669588406. The last update date is 2010-01-12.
Bryan William Fennelly's current location address is 8 Shunpike Rd, Madison, New Jersey. You can contact this provider via phone number 9736600084 and fax number 9739660332. The mailing address for Bryan William Fennelly is 8 Shunpike Rd, Madison, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan William Fennelly |
|---|---|
| Address | 8 Shunpike Rd, Madison, New Jersey |
| Phone Number | 9736600084 |
| Fax Number | 9739660332 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669588406 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2010-01-12 |
Provider Mailing Address Detail
| Address | 8 Shunpike Rd |
|---|---|
| City | Madison |
| State | New Jersey (NJ) |
| Post Code | 79402740 |
| Phone Number | 9736600084 |
| Fax Number | 9739660332 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 25MA06022900 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6255809 | NJ | -- |
Post Comment/ Review Below
What is the Bryan William Fennelly's unique identification number?
The Bryan William Fennelly has been assigned the NPI (National Provider Identifier) Number 1669588406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Bryan William Fennelly is physically located?
The Bryan William Fennelly is situated at the following address: 8 Shunpike Rd, Madison, NJ 79402740.
What is Bryan William Fennelly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bryan William Fennelly is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
When did Bryan William Fennelly receive its 1669588406 assignment?
The Bryan William Fennelly was assigned its 1669588406 on 2006-08-22, which is the date when this unique identifier was issued to the organization.
When was the information related to Bryan William Fennelly most recently updated or refreshed?
The details pertaining to the Bryan William Fennelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-12.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA