Individual
DR. LEWIS IRA FEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 FREMONT ST, SUITE NUMBER 5, MARLBOROUGH, MA 01752-1271
(508) 485-4012
(508) 485-1419
Mailing address
65 FREMONT ST, POST OFFICE BOX 390, MARLBOROUGH, MA 01752-1271
(508) 485-4012
(508) 485-1419
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
34371
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021285
—
MA
Enumeration date
10/17/2006
Last updated
07/08/2007
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