Theodore W Fetter
Medical Specialty
Professional ID
- NPI: 1740213891
- PECOS ID: 2163615055
- Enrollment ID: I20101025000088
- Credential(MD, DO, DPM):
- Medical School: Jefferson Medical College Of Thomas Jefferson University
- Medical School Graduation Year: 1971
Location
- Address1: 201 Park St Se
- Address2:
- City: Vienna
- State: Virginia
- Zip Code: 22180
- Phone Number: (703)356-1465
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):