Individual
DR. MICHAEL J FELTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 HERON RD, MYSTIC, CT 06355-3253
(860) 536-6442
(860) 536-6442
Mailing address
819 WORCESTER ST, SUITE 3, SPRINGFIELD, MA 01151-1045
(413) 543-6820
(413) 543-7962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029513
CT
207QG0300X
Geriatric Medicine (Family Medicine) Physician
029513
CT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
029513
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001295139
—
CT
Enumeration date
07/15/2006
Last updated
06/10/2013
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