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JENNIFER FELICELLI PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1265656946

Individual Registrant:
 JENNIFER  FELICELLI PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23 CLARA DR  MYSTIC, CT 06355-1959 US
Tel: 860-536-1666  Fax: 860-536-9770

Contact information for business:
5 N BROAD ST  PAWCATUCK, CT 06379-1805 US
Tel: 860-599-4229  Fax: --

Registration Information:
NPI: 1265656946
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CT001410

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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