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Individual

DR. MARY S FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
30 E APPLE ST STE 5254A, DAYTON, OH 45409
(937) 208-4200
(937) 208-4205
Mailing address
3170 KETTERING BLVD, BLDG B 3RD FL, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
16666
NH
2084N0400X
Neurology Physician
16666
NH
2084N0400X
Neurology Physician
Primary
34.012642
OH
2084N0400X
Neurology Physician
LT4136
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0217667
OH
05
102380162
PA
Enumeration date
05/30/2008
Last updated
10/30/2019
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