Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 30156 | WV |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD050918L | PA |
NPI | 1083682637 |
---|---|
Provider Name | Louis S Felder |
First Address | Pittsburgh, PA 15224-2215 |
Second Address | Pittsburgh, PA 15224-2215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 19/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001463132 | (05) | PA |
F76918 | (02) | PA |