Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35052448 | OH |
NPI | 1003875634 |
---|---|
Provider Name | Ellen W Feld |
First Address | Cincinnati, OH 45249-2280 |
Second Address | Cincinnati, OH 45249-2280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 04/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0706212 | (05) | OH |
A17248 | (02) | OH |