Individual
JULIE R VAN DER FEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2834
(617) 855-3754
Mailing address
11 SAUNDERS RD, SUDBURY, MA 01776-1282
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
75142
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110052782/A
—
MA
01
—
J3025301
MEDICARE PROVIDER
MA
Enumeration date
08/20/2006
Last updated
08/03/2010
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