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NPI Code Detail

MEDICARE: FENG GE MD

MEDICARE: FENG GE MD
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
1207R00000XInternal Medicine Physician80839MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11475406OTHERCIGNA
265008OTHERMAHARVARD PILGRIM
35724467OTHERAETNA (PPO)
4J31591OTHERMABCBS
5080839OTHERMATUFTS
62075342OTHERAETNA (HMO)

General Provider Information

NPI Number : 1922004803
Entity Type Code : Individual
Provider Name (Legal Business Name) : FENG GE MD
Provider Business Mailing Address
First Line : PO BOX 843242
Second Line :
City : BOSTON
State : MA
Zip : 02284-3242
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27 CENTENNIAL DR
Second Line :
City : PEABODY
State : MA
Zip : 01960-7901
Country : US
Telephone Number : 978-531-7677
Fax Number : 978-531-7690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 09/22/2010

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Directions to “ FENG GE MD” Practice Location

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