Dr Ira L Fedder, MD | |
7505 Osler Dr, Suite 104, Towson, MD 21204-7736 | |
(410) 337-8888 | |
(410) 823-4833 |
Full Name | Dr Ira L Fedder |
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Gender | Male |
Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
Location | 7505 Osler Dr, Towson, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962425223 | NPI | - | NPPES |
330511200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | D0037294 (Maryland) | Primary |
Entity Name | University Of Maryland St Joseph Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
Entity Name | University Of Maryland St. Joseph Orthopaedics, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982950846 PECOS PAC ID: 0941455794 Enrollment ID: O20130227000318 |
Mailing Address | Practice Location Address |
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Dr Ira L Fedder, MD 7505 Osler Dr, Suite 104, Towson, MD 21204-7736 Ph: (410) 337-8888 | Dr Ira L Fedder, MD 7505 Osler Dr, Suite 104, Towson, MD 21204-7736 Ph: (410) 337-8888 |
Earl Craig Matthews, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7505 Osler Dr, Suite 104, Towson, MD 21204 Phone: 410-337-8888 Fax: 410-823-4833 | |
Frank J Catanzariti, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8322 Bellona Ave, Suite 100, Towson, MD 21204 Phone: 410-337-7900 Fax: 410-821-1334 | |
David F Dalury, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8322 Bellona Ave, Suite 100, Towson, MD 21204 Phone: 410-337-7900 Fax: 410-337-5321 | |
Dr. Kenneth William Defontes Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8322 Bellona Ave Ste 100, Towson, MD 21204 Phone: 410-337-7900 Fax: 410-337-5321 | |
Paul Justin Tortolani, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7505 Osler Dr, Towson, MD 21204 Phone: 410-337-4882 | |
Timothy P Codd, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8322 Bellona Ave, Towson, MD 21204 Phone: 410-337-7900 Fax: 410-337-5321 | |
Stephen Selverian, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 610-731-3660 |