MEDICARE: DR. GERALD BARRY FELDMAN 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
1	207VG0400X	Gynecology Physician	D0004297	MD

General Provider Information

NPI Number	:	1922008200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD BARRY FELDMAN MD

Provider Business Mailing Address
First Line	:	2411 W BELVEDERE AVE
Second Line	:	201
City	:	BALTIMORE
State	:	MD
Zip	:	21215-5228
Country	:	US
Telephone Number	:	410-578-8115
Fax Number	:	410-578-8130

Provider Business Practice Location Address
First Line	:	2411 W BELVEDERE AVE
Second Line	:	201
City	:	BALTIMORE
State	:	MD
Zip	:	21215-5228
Country	:	US
Telephone Number	:	410-578-8115
Fax Number	:	410-578-8130

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/08/2007

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