Individual
CHARLES R FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, MEMORIAL HOSPITAL, NORTH CONWAY, NH 03860-7101
(603) 356-5461
(603) 356-5877
Mailing address
3073 WHITE MOUNTAIN HWY, MEMORIAL HOSPITAL, NORTH CONWAY, NH 03860-7101
(603) 356-5461
(603) 356-5877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6863
NH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
6863
NH
207RP1001X
Pulmonary Disease Physician
Primary
6863
NH
208M00000X
Hospitalist Physician
6863
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090824
—
NH
01
—
T400207036
MEDICARE PTAN
NH
Enumeration date
04/16/2006
Last updated
03/10/2016
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