Individual
MATTHEW FEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 N WOLFE ST STE WB602, BALTIMORE, MD 21205-2103
(410) 955-3630
Mailing address
655 COLUMBIA ST UNIT 208, SAN DIEGO, CA 92101-6744
(808) 777-8455
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
152340
CA
208D00000X
General Practice Physician
Primary
C152340
CA
390200000X
Student in an Organized Health Care Education/Training Program
MT200277
PA
Other
Enumeration date
07/14/2011
Last updated
10/29/2020
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