| Ingrid M. H. Feder Md Llc | |
|
425 Montauk Ave New London CT 06320-4642 | |
| (860) 442-0383 | |
| (860) 357-6448 |
| Full Name | Ingrid M. H. Feder Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 425 Montauk Ave, New London, Connecticut |
| Authorized Official Name and Position | Ingrid Feder (OWNER) |
| Authorized Official Contact | 8604420383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingrid M. H. Feder Md Llc 425 Montauk Ave New London CT 06320-4642 Ph: (860) 442-0383 | Ingrid M. H. Feder Md Llc 425 Montauk Ave New London CT 06320-4642 Ph: (860) 442-0383 |
| NPI Number | 1891216230 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891216230 | NPI | - | NPPES |
| 1609872845 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 039934 (Connecticut) | Primary |
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