Individual
DR. IRA L FEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7505 OSLER DR, SUITE 104, TOWSON, MD 21204-7736
(410) 337-8888
(410) 823-4833
Mailing address
7505 OSLER DR, SUITE 104, TOWSON, MD 21204-7736
(410) 337-8888
(410) 823-4833
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
D0037294
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330511200
—
MD
Enumeration date
07/26/2006
Last updated
11/13/2013
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