Provider Demographics
NPI:1922004803
Name:GE, FENG (MD)
Entity Type:Individual
Prefix:
First Name:FENG
Middle Name:
Last Name:GE
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:PO BOX 843242
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-3242
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27 CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-7901
Practice Address - Country:US
Practice Address - Phone:978-531-7677
Practice Address - Fax:978-531-7690
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80839207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1475406OtherCIGNA
MA65008OtherHARVARD PILGRIM
5724467OtherAETNA (PPO)
MAJ31591OtherBCBS
MA080839OtherTUFTS
2075342OtherAETNA (HMO)
MA65008OtherHARVARD PILGRIM
5724467OtherAETNA (PPO)