Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 0101035867 | VA |
NPI | 1083719728 |
---|---|
Provider Name | Dr. Howard R Feldman |
First Address | Virginia Beach, VA 23464-6779 |
Second Address | Virginia Beach, VA 23464-6779 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
462310 | BLUE CROSS (01) | VA |
5659752 | (05) | VA |
8906100 | (05) | NC |
C47522 | (02) | VA |