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Individual

ERIKA K FELLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-3575
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-3575

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
220541
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2079411
MA
01
J27627
BCBSMA
MA
Enumeration date
07/25/2006
Last updated
12/05/2011
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