John A Fetchero Jr D O P A in Orange Park - Otolaryngology/facial Plastic Surgery
John A Fetchero Jr D O P A - NPI 1457397499
John A Fetchero Jr D O P A is a Otolaryngology/facial Plastic Surgery in Orange Park, Florida. John A Fetchero Jr D O P A practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for John A Fetchero Jr D O P A is 1457397499. The last update date is 2010-09-30.
John A Fetchero Jr D O P A's current location address is 2862 Country Club Blvd, Orange Park, Florida. You can contact this provider via phone number 9042783820 and fax number 9042783849. The mailing address for John A Fetchero Jr D O P A is 2862 Country Club Blvd, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John A Fetchero Jr D O P A |
|---|---|
| Address | 2862 Country Club Blvd, Orange Park, Florida |
| Phone Number | 9042783820 |
| Fax Number | 9042783849 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fetchero Anthony John |
| Credentials | D O |
| Telephone Number | 9042783820 |
NPI Number Detail
| NPI Number | 1457397499 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2010-09-30 |
Provider Mailing Address Detail
| Address | 2862 Country Club Blvd |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320735728 |
| Phone Number | 9042783820 |
| Fax Number | 9042783849 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 48447400 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John A Fetchero Jr D O P A by the Centers for Medicare & Medicaid Services?
The John A Fetchero Jr D O P A has been issued the NPI (National Provider Identifier) 1457397499 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John A Fetchero Jr D O P A is physically located?
The John A Fetchero Jr D O P A is physically situated at the following address: 2862 Country Club Blvd, Orange Park, FL, 320735728.
What is John A Fetchero Jr D O P A's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John A Fetchero Jr D O P A is Otolaryngology/facial Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 207Yx0905X.
When did John A Fetchero Jr D O P A receive its 1457397499 assignment?
The John A Fetchero Jr D O P A was assigned its 1457397499 on 2006-06-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to John A Fetchero Jr D O P A last refreshed?
The information related to the John A Fetchero Jr D O P A, including its address, specialty, and other relevant details, was last updated on 2010-09-30.