Individual
DR. ELEANOR J FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
553 CEDAR LN STE A, TEANECK, NJ 07666-1712
(201) 836-6400
(201) 836-0399
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA11209200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0828084
—
NJ
01
—
1S5946
MEDICARE PTAN
NJ
Enumeration date
06/07/2016
Last updated
04/28/2022
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