Individual
DR. MICHAEL F FEDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
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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