Provider Demographics
NPI:1861556250
Name:ATLANTIC PULMONARY ASSOCIATES PLLC
Entity type:Organization
Organization Name:ATLANTIC PULMONARY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:FELTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-436-4614
Mailing Address - Street 1:330 BORTHWICK AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4174
Mailing Address - Country:US
Mailing Address - Phone:603-436-3614
Mailing Address - Fax:603-436-0377
Practice Address - Street 1:330 BORTHWICK AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4174
Practice Address - Country:US
Practice Address - Phone:603-436-3614
Practice Address - Fax:603-436-0377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6863207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE7753Medicare ID - Type Unspecified