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Craig M. Fetterman, D.O.,p.C.

Hospitalist in Kenmore, NY. Organization (NPI-2).

NPI number1285779751
StatusActive
Last updated in NPPESSep 19, 2007

Details

NPI
1285779751
Entity type
Organization (NPI-2)
Legal business name
Craig M. Fetterman, D.O.,p.C.
Organization subpart
No
Enumeration date
Feb 21, 2007
Last updated
Sep 19, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist230757-1NYYes

Practice location

2950 Elmwood Ave
Kenmore, NY 14217-1304

Phone 716-634-8800 · Fax 716-634-8987

Mailing address

200 International Dr
Williamsville, NY 14221-8217

Phone 716-634-8800 · Fax 716-634-8987

Authorized official

Craig M Fetterman
President
7166348800

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