Individual
BRIAN FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
35 CONGRESS ST, SALEM, MA 01970
(978) 825-7124
(978) 741-3890
Mailing address
PO BOX 930, SALEM, MA 01970
(978) 825-7124
(978) 741-3890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
213260
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701688
—
MA
Enumeration date
05/13/2006
Last updated
09/12/2011
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