National Provider Identifier
Craig M Fetterman, DO
Craig M Fetterman, DO is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Kenmore, NY and a listed phone number of (716) 634-8800.
Profile Overview
- NPI
- 1902868383
- Provider Type
- Individual
- Primary Specialty
- Hospitalist Physician
- Enumeration Date
- April 03, 2006
- Last Updated
- August 26, 2022
Practice Location
- 2950 Elmwood Ave
- Kenmore, NY 14217-1304
Phone: (716) 634-8800
Mailing Address
- 40 Main St
- Hamburg, NY 14075-4948
Specialties
- Hospitalist Physician (208M00000X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1902868383
- Entity Type
- Individual
- Last Name
- Fetterman
- First Name
- Craig
- Middle Name
- M
- Credential
- DO
- Mailing Street Address
- 40 Main St
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-4948
- Mailing Country
- US
- Mailing Phone
- (716) 649-0887
- Mailing Fax
- (716) 646-4611
- Practice Street Address
- 2950 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1304
- Practice Country
- US
- Practice Phone
- (716) 634-8800
- Practice Fax
- (716) 634-8987
- Enumeration Date
- April 03, 2006
- Last Updated
- August 26, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hospitalist Physician (208M00000X), Internal Medicine Physician (207R00000X)
- Other Identifiers
- 0412489 (NY, Independent Health), 000527760001 (NY, Bc/Bs), 0026827302 (NY, Univera), 02533062 (NY), 041006000116 (NY, Fidelis)