Provider Demographics
NPI:1417283904
Name:FEELEY, PATRICK J
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:J
Last Name:FEELEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1079 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3961
Mailing Address - Country:US
Mailing Address - Phone:617-947-2935
Mailing Address - Fax:
Practice Address - Street 1:822 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-3452
Practice Address - Country:US
Practice Address - Phone:781-934-9161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist