Individual
LEONARD FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(443) 287-3631
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D61391
MD
207R00000X
Internal Medicine Physician
Primary
D61391
MD
208000000X
Pediatrics Physician
D61391
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404828800
—
MD
01
—
60609101
BLUE CROSS
MD
Enumeration date
06/12/2006
Last updated
09/24/2013
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