Individual
BLAKE ARON FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-4286
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-4286
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP05860
RI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/22/2022
Last updated
07/05/2023
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