# INGRID M. H. FEDER MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891216230
- **Authorized official:** INGRID FEDER MD (OWNER)
- **Authorized official phone:** (860) 442-0383

## Contact information

- **Practice address:** 425 MONTAUK AVE, NEW LONDON, CT 06320-4642
- **Practice address phone:** (860) 442-0383
- **Practice address fax:** (860) 357-6448
- **Mailing address:** 425 MONTAUK AVE, NEW LONDON, CT 06320-4642
- **Mailing address phone:** (860) 442-0383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 039934 | CT | Yes |

## Other

- **Enumeration date:** 07/06/2017
- **Last updated:** 07/21/2022