Individual
JAN FELTOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
396 BROADWAY, KINGSTON, NY 12401-4626
(845) 334-2890
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
182274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01322536
—
NY
Enumeration date
07/10/2006
Last updated
07/11/2007
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