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NPI Code Detail

MEDICARE: MICHAEL J. FELTES, DBA SOUND SENIORS GERIATRICS, MD

MEDICARE: MICHAEL J. FELTES, DBA SOUND SENIORS GERIATRICS, MD
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician
2207QG0300XGeriatric Medicine (Family Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679628820
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL J. FELTES, DBA SOUND SENIORS GERIATRICS, MD
Provider Business Mailing Address
First Line : 3 HERON RD
Second Line :
City : MYSTIC
State : CT
Zip : 06355-3253
Country : US
Telephone Number : 860-536-6442
Fax Number : 860-536-6442
Provider Business Practice Location Address
First Line : 3 HERON RD
Second Line :
City : MYSTIC
State : CT
Zip : 06355-3253
Country : US
Telephone Number : 860-536-6442
Fax Number : 860-536-6442
Authorized Official
Title or Position : MANAGER
Name : MS. JUNE FLIRI
Credential : M.B.A., M.S.W.
Telephone Number : 860-536-6442
Provider Enumeration Date : 01/25/2007
Last Update Date : 05/28/2008

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