Individual
DR. HERBERT FELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
183 MARKET ST, KINGSTON, PA 18704-5444
(570) 714-9322
(570) 714-8750
Mailing address
644 GIBSON AVE, KINGSTON, PA 18704-5320
(570) 283-4806
(570) 283-3044
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MDO10836E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006517730005
—
PA
Enumeration date
09/14/2006
Last updated
07/09/2007
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