Individual
MICHAEL FELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 JULIO DR STE 101, SHREWSBURY, MA 01545-3053
(508) 845-5500
(508) 276-1852
Mailing address
29 MAGNOLIA RD, SHARON, MA 02067-2470
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
495
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5102189
—
MA
Enumeration date
06/05/2009
Last updated
02/17/2021
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