Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MA32665 | MA |
NPI | 1467457523 |
---|---|
Provider Name | Dr. Geraldine Feldman |
First Address | Leominster, MA 01453-2238 |
Second Address | Leominster, MA 01453-2238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2019167 | (05) | MA |
B97618 | (02) |