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Organization
CHARLES J FETTERMAN MD PC
Active
Organization
CHARLES J FETTERMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA A WEINHEIMER (OFFICE MANAGER)
(716) 434-7505
Entity
Organization
Contact information
Practice address
70 PROFESSIONAL PKWY, LOCKPORT, NY 14094-5366
(716) 434-7505
(716) 439-9084
Mailing address
70 PROFESSIONAL PKWY, LOCKPORT, NY 14094-5366
(716) 434-7505
(716) 439-9084
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
148889-1
NY
207W00000X
Ophthalmology Physician
Primary
214954-1
NY
207W00000X
Ophthalmology Physician
251762-1
NY
Other
Enumeration date
01/02/2007
Last updated
05/21/2010
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