Individual
DR. SETH FEDER
Active
Individual
DR. SETH FEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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