Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 25MA08521300 | NJ |
NPI | 1033394366 |
---|---|
Provider Name | Howard Eric Felderman |
First Address | Ridgewood, NJ 07450-2726 |
Second Address | Ridgewood, NJ 07450-2726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2008 |
Last Update Date | 02/02/2016 |