NPI 1316912116

Charles Robert Fedele, MD

Practitioner Dermatology Physician Sayre, PA

Practice location

Address: 1229 Pennsylvania Avenue, Sayre, PA 18840
Phone: (570) 888-5858
Mailing address: 1229 Pennsylvania Ave, Sayre, PA 18840-1047

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD037378L (PA)

Other Dermatology providers in Pennsylvania →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 119115-1 (NY)

Registry record

NPI: 1316912116
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.