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LEWIS FELDMAN GOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
20955 PROFESSIONAL PLZ, SUITE 200, ASHBURN, VA 20147-3405
(703) 729-7952
(703) 729-8746
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102049940
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6705081
VA
Enumeration date
08/31/2005
Last updated
07/23/2010
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