Most Relevant Information
Provider Data
| NPI Number: | 1003455668 |
| Provider Name: | MICHAEL FENIMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 37PC00666000 |
Most Important Dates
| Enumeration Date: | 12/31/2019 |
| Last Updated: | 12/31/2019 |
Provider Practice Location
9 VILLAGE CT
HAZLET
NJ
077301531
Practice Location Phone/Fax
| Phone: | 7327377105 |
| Fax: |
Provider Mailing Location
9 VILLAGE CT
HAZLET
NJ
077301531
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |