Individual
DR. WAYNE T FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
630 MANTUA PIKE, WOODBURY, NJ 08096-3233
(856) 812-2220
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS019078
PA
Other
Enumeration date
09/26/2013
Last updated
02/11/2025
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