Provider Demographics
NPI:1033485289
Name:FEINMAN, MARCIE (MD)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:
Last Name:FEINMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 W. BELVEDERE AVE. SUITE 42
Mailing Address - Street 2:HOFFBERGER BUILDING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:410-601-0600
Mailing Address - Fax:410-601-5835
Practice Address - Street 1:2435 W. BELVEDERE AVE. SUITE 42
Practice Address - Street 2:HOFFBERGER BUILDING
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-0600
Practice Address - Fax:410-601-5835
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD744862086S0127X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program