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Individual

DANIEL JOEL FEIRTAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3110 GRACEFIELD RD, SILVER SPRING, MD 20904-1820
(301) 572-8340
(301) 572-8403
Mailing address
PO BOX 17296, BALTIMORE, MD 21297-1296
(301) 572-8340
(301) 572-8403

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0023855
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0054
CAREFIRST BCBS
01
04-21635
EVERCARE
01
0943ER-311120-02
CAREFIRST BCBS OF MD
01
311120-02
BCBS MD
05
312031700
MD
01
P17416
BCBS DC
Enumeration date
03/06/2007
Last updated
07/16/2009
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