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Organization

MARVIN A FELDSTEIN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARVIN A FELDSTEIN MD (OWNER)
(440) 255-3555
Entity
Organization

Contact information

Practice address
8224 MENTOR AVE, STE 146, MENTOR, OH 44060-5768
(440) 255-3555
(440) 255-4959
Mailing address
8224 MENTOR AVE, STE 146, MENTOR, OH 44060-5768
(440) 255-3555
(440) 255-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35026484F
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000164017
ANTHEM BLUE CROSS BLUE SHIELD
05
2692831
OH
Enumeration date
03/26/2010
Last updated
04/07/2010
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