Individual
ANNA FELEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(857) 307-3900
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(857) 307-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
239475
MA
207Q00000X
Family Medicine Physician
MD13169
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11083717A
—
MA
01
—
1339701
MEDICARE PTAN
MA
05
—
AZ77531
—
RI
Enumeration date
02/12/2009
Last updated
09/08/2016
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