Organization
INGRID M. H. FEDER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID FEDER MD (OWNER)
(860) 442-0383
Entity
Organization
Contact information
Practice address
425 MONTAUK AVE, NEW LONDON, CT 06320-4642
(860) 442-0383
(860) 357-6448
Mailing address
425 MONTAUK AVE, NEW LONDON, CT 06320-4642
(860) 442-0383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039934
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609872845
—
CT
Enumeration date
07/06/2017
Last updated
07/21/2022
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