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NPI Code Detail

MEDICARE: LEWIS FELDMAN GOLD DO

MEDICARE:   LEWIS FELDMAN GOLD  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician0102049940VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124012588
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEWIS FELDMAN GOLD DO
Provider Business Mailing Address
First Line : PO BOX 17334
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-1334
Country : US
Telephone Number : 703-443-6717
Fax Number : 703-443-8643
Provider Business Practice Location Address
First Line : 20955 PROFESSIONAL PLZ
Second Line : SUITE 200
City : ASHBURN
State : VA
Zip : 20147-3405
Country : US
Telephone Number : 703-729-7952
Fax Number : 703-729-8746
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 07/23/2010

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Directions to “ LEWIS FELDMAN GOLD DO” Practice Location

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