ALAN D FETTERMAN

BROOKHAVEN PHYSICIAN SERVICES, PC

Dr ALAN D FETTERMAN is a male medical professional, specializing in Internal Medicine. He graduated in 1982 from State University Of New York Downstate Medical Center.

Contact

BROOKHAVEN PHYSICIAN SERVICES, PC

100 HOSPITAL RD
EAST PATCHOGUE
NY
117728814

Tel:

ALAN D FETTERMAN Information

Npi 1891705208
Pac Id 6204970072
Professional Enrollment Id I20100217000194
Last Name FETTERMAN
First Name ALAN
Middle Name D
Suffix
Gender M
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 1982
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 GERIATRIC MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties GERIATRIC MEDICINE
Organization Legal Name BROOKHAVEN PHYSICIAN SERVICES, PC
Group Practice Pac Id 0547339293
Number Of Group Practice Members 16
Line 1 Street Address 100 HOSPITAL RD
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City EAST PATCHOGUE
State NY
Zip Code 117728814
Phone Number
Hospital Affiliation Ccn 1 330141
Hospital Affiliation Lbn 1 BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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