Provider Information for 1912284332
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Mr. MICHAEL ROY FELDMAN L.P.C.
Sex: Male
NPI: 1912284332
Last Updated: 2018-03-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1912284332 | ||||||||
| Enumeration Date | 2011-11-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 12097 OLD HAMMOND HWY STE I3 BATON ROUGE, LA 70816-8679 United States Phone: 225-412-0130 | Fax:225-412-0140 | ||||||||
| Primary Practice Address | 12097 OLD HAMMOND HWY STE I3 BATON ROUGE, LA 70816-8679 United States Phone: 225-412-0130 | Fax:225-412-0140 | ||||||||
| Secondary Practice Address(es) | 8752 QUARTERS LAKE RD | ||||||||
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