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NPI Code Detail

MEDICARE: DONALD L FELDMAN DMD

MEDICARE:   DONALD L FELDMAN  DMD
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry11068MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200004OTHERMADELTA
3X10244OTHERMABXBS

General Provider Information

NPI Number : 1366454134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD L FELDMAN DMD
Provider Business Mailing Address
First Line : 3 MERIDIAN ST
Second Line :
City : EAST BOSTON
State : MA
Zip : 02128-1928
Country : US
Telephone Number : 617-569-7300
Fax Number : 617-569-8689
Provider Business Practice Location Address
First Line : 3 MERIDIAN ST
Second Line :
City : EAST BOSTON
State : MA
Zip : 02128-1928
Country : US
Telephone Number : 617-569-7300
Fax Number : 617-569-8689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 07/08/2007

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Directions to “ DONALD L FELDMAN DMD” Practice Location

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