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Individual

DR. MICHAEL RICHARD FETELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
206 LINDY LN, BALA CYNWYD, PA 19004-1317
(305) 794-8367
Mailing address
206 LINDY LN, BALA CYNWYD, PA 19004-1317
(305) 794-8367

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
118182
NY

Other

Enumeration date
11/15/2010
Last updated
08/31/2015
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