MEDICARE: DR. GERALDINE FELDMAN M.D.

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
1	207KA0200X	Allergy Physician	MA32665	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1467457523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALDINE FELDMAN M.D.

Provider Business Mailing Address
First Line	:	50 MEMORIAL DR
Second Line	:	STE 206
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-2238
Country	:	US
Telephone Number	:	978-537-4805
Fax Number	:	978-537-2185

Provider Business Practice Location Address
First Line	:	50 MEMORIAL DR
Second Line	:	STE 206
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-2238
Country	:	US
Telephone Number	:	978-537-4805
Fax Number	:	978-537-2185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/08/2007

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