Individual
DR. EDWARD FELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 SEWALL ST, PORTLAND, ME 04102-2643
(207) 774-5761
(207) 874-7478
Mailing address
51 SEWALL ST, PORTLAND, ME 04102-2643
(207) 774-5761
(207) 874-7478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018180
ME
207RR0500X
Rheumatology Physician
128680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001251601
MEDICARE ID
ME
05
—
434543599
—
ME
Enumeration date
04/26/2007
Last updated
10/29/2009
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