Provider Demographics
NPI:1881671527
Name:FELTIN, GEORGE M (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:M
Last Name:FELTIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:101 MAIN ST
Mailing Address - Street 2:HALLMARK HEALTH MEDICAL ASSOCIATES INC -SUITE 204
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4540
Mailing Address - Country:US
Mailing Address - Phone:781-396-6589
Mailing Address - Fax:781-396-0561
Practice Address - Street 1:101 MAIN ST
Practice Address - Street 2:HALLMARK HEALTH MEDICAL ASSOCIATES INC -SUITE 204
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4540
Practice Address - Country:US
Practice Address - Phone:781-396-6589
Practice Address - Fax:781-396-0561
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2012-05-02
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Provider Licenses
StateLicense IDTaxonomies
MA50404207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6174264Medicaid
MA69795OtherHARVARD PILGRIM
MA706066OtherTUFTS
MA69795OtherHARVARD PILGRIM
MAB74328Medicare UPIN