Provider Demographics
NPI:1558324236
Name:FELCH, D. GREGORY (MD)
Entity Type:Individual
Prefix:
First Name:D.
Middle Name:GREGORY
Last Name:FELCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DON
Other - Middle Name:GREGORY
Other - Last Name:FELCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:350 STEARNS ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:MA
Mailing Address - Zip Code:01741-1850
Mailing Address - Country:US
Mailing Address - Phone:978-369-6127
Mailing Address - Fax:
Practice Address - Street 1:350 STEARNS ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:MA
Practice Address - Zip Code:01741-1850
Practice Address - Country:US
Practice Address - Phone:978-369-6127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47581208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics