Basic Information
Provider Information
NPI: 1538158613
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FELD
FirstName: STEVEN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3 COOPER PLAZA
Address2: SUITE 502
City: CAMDEN
State: NJ
PostalCode: 08103
CountryCode: US
TelephoneNumber: 8569636888
FaxNumber: 8569688499
Practice Location
Address1: ONE COOPER PLAZA
Address2: DORRANCE BLDG ROOM 623
City: CAMDEN
State: NJ
PostalCode: 08103
CountryCode: US
TelephoneNumber: 8563422491
FaxNumber: 8563427023
Other Information
ProviderEnumerationDate: 10/20/2005
LastUpdateDate: 04/05/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VM0101X25MA03837100NJY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

ID Information
IDTypeStateIssuerDescription
01004599101NJAMERICHOICEOTHER
010462700001NJAMERIHEALTH/KEYSTONE/IBCOTHER
166585301NJAETNAOTHER
168930405NJ MEDICAID
095141201NJCIGNAOTHER
177044801NJAETNAOTHER
6003504801NJHORIZON NJ HEALTHOTHER


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