Individual
FREDERICK M FELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 CHESTNUT STREET, SUITE 320A, PHILADELPHIA, PA 19107-5109
(215) 955-8874
Mailing address
925 CHESTNUT STREET, SUITE 320A, PHILADELPHIA, PA 19107-5109
(215) 955-8874
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD025210E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007005116
—
PA
05
—
0311955
—
NJ
01
—
110046099
PALMETTO GBA RAILROAD MEDICARE
PA
01
—
52134
AETNA
PA
Enumeration date
08/31/2006
Last updated
02/15/2013
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