Individual
DR. SETH FEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
989 RESERVOIR AVE, CRANSTON, RI 02910-5138
(401) 942-9005
(401) 464-8664
Mailing address
989 RESERVOIR AVE, CRANSTON, RI 02910-5138
(401) 942-9005
(401) 464-8664
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
5805
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000765
BLUE CHIP
RI
01
—
1000
BLUE CROSS
RI
05
—
9001000
—
RI
Enumeration date
06/20/2005
Last updated
06/17/2013
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