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Individual

BRIAN L FELLECHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1700 ST LUKES BLVD, SUITE 200, EASTON, PA 18045-5670
(484) 503-0050
(484) 503-0003
Mailing address
1700 ST LUKES BLVD, SUITE 200, EASTON, PA 18045-5670
(484) 503-0050
(484) 503-0003

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS006405L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120814900005
PA
05
0012081490005
PA
Enumeration date
12/13/2005
Last updated
03/30/2015
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