Individual
ERIC JAY FEUCHTBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10215 FERNWOOD RD STE 506, BETHESDA, MD 20817-1184
(301) 530-1010
(301) 897-8597
Mailing address
10215 FERNWOOD RD STE 506, BETHESDA, MD 20817-1184
(301) 530-1010
(301) 897-8597
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2012019668
MO
207X00000X
Orthopaedic Surgery Physician
D0085607
MD
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
D0085607
MD
Other
Enumeration date
06/21/2012
Last updated
06/26/2023
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