Individual provider · Type 1 NPI
Jay Mitchell Feder, MD
General Practice Physician · Fairfax, VA
NPI number
1417989682
Active
Practice location
3611 Sweethorn Ct
Fairfax, VA 22033-1226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 233752 (NY) |
| Diagnostic Radiology Physician | 2085R0202X | 25MA08982700 (NJ) |
| General Practice Physician Primary | 208D00000X | 0101044480 (VA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1417989682
Jay Mitchell Feder, MD's National Provider Identifier is 1417989682, issued on Jul 7, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fairfax, VA. The record was last updated on May 19, 2015.