| Jonathan C Fellers Md Pa Llc | |
|
1 City Ctr Ste 8130 Portland ME 04101-6420 | |
| (207) 221-0635 | |
| (207) 221-0634 |
| Full Name | Jonathan C Fellers Md Pa Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1 City Ctr Ste 8130, Portland, Maine |
| Authorized Official Name and Position | Jonathan Carl Fellers (OWNER) |
| Authorized Official Contact | 2072210635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan C Fellers Md Pa Llc 1 City Ctr Ste 8130 Portland ME 04101-6420 Ph: (207) 221-0635 | Jonathan C Fellers Md Pa Llc 1 City Ctr Ste 8130 Portland ME 04101-6420 Ph: (207) 221-0635 |
| NPI Number | 1457823817 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 08/22/2025 |
| Certification Date | 08/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457823817 | NPI | - | NPPES |
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