Bradley Christopher Fetzer, MD is a student in an organized health care education training program in Philadelphia, PA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Bradley Christopher Fetzer, MD NPI is 1164740080. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3400 SPRUCE ST
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-2200
The NPI 1164740080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/17/2010 and was last updated on 5/17/2010.