Individual
LOLITA FELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 E. RIDGEWOOD AVE, SUITE 208, RIDGEWOOD, NJ 07450
(201) 444-0868
(201) 493-0797
Mailing address
1200 E. RIDGEWOOD AVE, SUITE 208, RIDGEWOOD, NJ 07450
(201) 444-0868
(201) 493-0797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA060848
PA
363A00000X
Physician Assistant
MA060848
PA
Other
Enumeration date
08/08/2019
Last updated
11/28/2023
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