Fellin, Frederick M
Fellin, Frederick M is an individual health care provider with primary practice located at 925 Chestnut Street Suite 320A, Philadelphia PA 19107-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Fellin, Frederick M can be contacted via phone (215) 955-8874.Contact Information
Primary practice address
925 Chestnut Street Suite 320A
Philadelphia PA 19107-5109
Phone: (215) 955-8874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD025210E | Pennsylvania |
Profile Details
| NPI number | 1679684476 |
|---|---|
| LBN Legal business name | Fellin, Frederick M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 15th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679684476 | NPPES |
| Pennsylvania | MEDICAID | 007005116 | |
| Pennsylvania | Other | 110046099 | |
| Pennsylvania | Other | 52134 | |
| Pennsylvania | MEDICAID | 0311955 |
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