Individual
DR. JEFFREY FECKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 626-6460
(207) 621-9551
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 626-6460
(207) 621-9551
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
013996
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018215
ANTHEM
ME
01
—
1040863
AETNA
ME
05
—
303290099
—
ME
01
—
620031701
CIGNA
ME
01
—
MNT003
HARVARD PILGRIM
ME
Enumeration date
04/11/2006
Last updated
09/13/2016
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