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DR. IRA L FEDDER M.D.

Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine

Provider NPI: 1962425223

Provider Information:
DR. IRA L FEDDER M.D.
Gender: M
Not Sole Proprietor

Practice Location:
7505 OSLER DR SUITE 104 TOWSON, MD 21204-7736 US
Tel: 410-337-8888  Fax: 410-823-4833

Business Mailing Address:
7505 OSLER DR SUITE 104 TOWSON, MD 21204-7736 US
Tel: 410-337-8888  Fax: 410-823-4833

NPI Information:
NPI: 1962425223
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207XS0117XPhysicians
Orthopaedic Surgery
Orthopaedic Surgery of the Spine
MDD0037294

Other Provider Identifiers:

IssuerNumberStateType
330511200MD05



American Medical Association 2012 taxonomy code information

Code: 207XS0117X

Type:

Classification:



Definition:



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