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Individual

DR. MARTIN ALAN FELDMAN

Active
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Individual

DR. MARTIN ALAN FELDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2104
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179654
DEPT OF LABOR & INDUSTRIE
AZ
01
—
1072107
CIGNA
AZ
01
—
1Z8791
HEALTHNET
AZ
01
—
22072104
ICA
AZ
05
—
265711
—
AZ
01
—
4240133
AETNA
AZ
01
—
860676047
TAX ID
AZ
01
—
AZ0062880
BCBS OF AZ
AZ
Enumeration date
08/16/2005
Last updated
11/18/2021
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