Individual
JENNIFER FELICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23 CLARA DR, MYSTIC, CT 06355-1959
(860) 536-1666
(860) 536-9770
Mailing address
5 N BROAD ST, PAWCATUCK, CT 06379-1805
(860) 599-4229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001410
CT
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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