Individual
DOUGLAS FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A-C.
Contact information
Practice address
123 SUMMER ST, SUITE #535, WORCESTER, MA 01608-1216
(508) 363-6363
Mailing address
162 BROOKLINE ST, WORCESTER, MA 01603-1634
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
AP 42
MA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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