Provider Demographics
NPI:1801877634
Name:FELDMAN, LINA (MD)
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:FELDMAN
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 1:30 NEW CROSSING RD
Mailing Address - Street 2:HALLMARK HEALTH MEDICAL CENTER
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3270
Mailing Address - Country:US
Mailing Address - Phone:781-245-1900
Mailing Address - Fax:781-245-4923
Practice Address - Street 1:30 NEW CROSSING RD
Practice Address - Street 2:HALLMARK HEALTH MEDICAL CENTER
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3270
Practice Address - Country:US
Practice Address - Phone:781-245-1900
Practice Address - Fax:781-245-4923
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153580207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3168026Medicaid
MA772701OtherTUFTS
MAJ17892OtherBLUE CROSS LEGACY PROV#
G48439Medicare UPIN
MAA22667Medicare PIN