Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD461509 | PA |
N | 207R00000X | Internist | MD461509 | PA |
N | 111NI0900X | Internist | MD461509 | PA |
NPI | 1164798146 |
---|---|
Provider Name | Scott Feldman |
First Address | Philadelphia, PA 19104-2640 |
Second Address | Philadelphia, PA 19104-2640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 14/10/2019 |