Provider Demographics
NPI:1366587677
Name:FEINSTEIN, CARL BRUCE (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:BRUCE
Last Name:FEINSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:401 QUARRY ROAD
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5719
Mailing Address - Country:US
Mailing Address - Phone:650-723-5511
Mailing Address - Fax:650-725-9544
Practice Address - Street 1:401 QUARRY RD
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5719
Practice Address - Country:US
Practice Address - Phone:650-723-5511
Practice Address - Fax:650-725-9544
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG844112084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry