Organization Name: | ERIC M FEIT DPM INC |
NPI Number: | 1033429519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC M FEIT (PRESIDENT, OWNER) |
Mailing Address: | 1360 West 6th St. Suite 240 San Pedro |
State: | CA US |
Postal Code: | 90732 |
Phone Number: | 3105483311 |
Fax Number: | 3105483384 |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E3982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |