Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 2145 | MA |
NPI | 1104804640 |
---|---|
Provider Name | Dr. Neil J Feldman |
First Address | Worcester, MA 01605-3646 |
Second Address | Worcester, MA 01605-3646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 18/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U75666 | (02) |