MEDICARE: D. GREGORY FELCH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	47581	MA

General Provider Information

NPI Number	:	1558324236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	D. GREGORY FELCH M.D.

Provider Business Mailing Address
First Line	:	350 STEARNS ST
Second Line	:
City	:	CARLISLE
State	:	MA
Zip	:	01741-1850
Country	:	US
Telephone Number	:	978-369-6127
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 STEARNS ST
Second Line	:
City	:	CARLISLE
State	:	MA
Zip	:	01741-1850
Country	:	US
Telephone Number	:	978-369-6127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	03/02/2022

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