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Contact Information

MICHAEL J FELTES, MD
3 HERON RD
MYSTIC, CT06355-3253
 Phone: 860-536-6442
 Fax: 860-536-6442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL J FELTES · (Male)

NPI # 1689690216
Status Active
Credentials MD
Entity Individual
Enumeration date 07/15/2006
Last updated 06/10/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 029513
  • CT Medicaid 001295139
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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