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Dr. Jay Mitchell Feder, MD
General Practice Physician in Fairfax, Virginia
NPI 1417989682

Jay Mitchell Feder is a General Practice Physician based in Fairfax, VA. Jay Mitchell Feder practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Jay Mitchell Feder is 1417989682 and holds a License No. 233752 (Virginia).

The current practice location address for Jay Mitchell Feder is 3611 Sweethorn Ct, Fairfax, VA and can be reached out via phone at 703-517-2415.

Location: 3611 Sweethorn Ct, Fairfax, VA, 22033-1226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417989682
Provider Name
Jay Mitchell Feder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3611 Sweethorn Ct, Fairfax, VA, 22033-1226
Phone Number
703-517-2415
Fax Number
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02798507 05 NY
institution
Provider Business Practice Location Address Details
Address
3611 Sweethorn Ct
City
Fairfax
State
Virginia
Zip
22033-1226
Phone Number
703-517-2415
Fax Number
person
Provider Business Mailing Address Details
Address
3611 Sweethorn Ct
City
Fairfax
State
Virginia
Zip
22033-1226
Phone Number
703-517-2415
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
25MA08982700 (New Jersey)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
233752 (New York)
Definition
Definition to come...
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