Individual
DR. MICHAEL F FEDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
426 MULBERRY ST, SUITE 202, SCRANTON, PA 18503-1500
(570) 346-0700
(570) 983-0004
Mailing address
426 MULBERRY ST, SUITE 202, SCRANTON, PA 18503-1500
(570) 346-0700
(570) 983-0004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS027174 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015635300003
—
PA
01
—
402094
UNITED CONCORDIA INSURANC
PA
01
—
800648
FIRST PRIORITY INSURANCE
PA
Enumeration date
01/16/2007
Last updated
07/09/2007
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