Individual
JONATHAN L FELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 CENTER GROVE RD STE 16, RANDOLPH, NJ 07869-4453
(973) 787-7402
(973) 860-2205
Mailing address
131 MADISON AVE FL 3, MORRISTOWN, NJ 07960-7360
(973) 787-7402
(973) 944-2333
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA06616400
NJ
Other
Enumeration date
10/12/2005
Last updated
06/13/2025
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