Individual provider · Type 1 NPI

Douglas Fellows, P.A-C.

Surgical Physician Assistant · Worcester, MA

NPI number 1407940752 Active

Practice location

123 Summer St, Suite #535
Worcester, MA 01608-1216

Mailing address

162 Brookline St
Worcester, MA 01603-1634

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XAP 42 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1407940752

Douglas Fellows, P.A-C.'s National Provider Identifier is 1407940752, issued on Oct 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Worcester, MA. The record was last updated on Jul 8, 2007.