Fitzgerald, D R

Fitzgerald, D R is an individual health care provider with primary practice located at 301 Hospital Dr , Glen Burnie MD 21061-5803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fitzgerald, D R can be contacted via phone (410) 787-4565.

Contact Information

Primary practice address
301 Hospital Dr Glen Burnie MD 21061-5803
Fax: (410) 766-7602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D41570 Maryland

Profile Details

NPI number 1164464186
LBN Legal business name Fitzgerald, D R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 11th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164464186 NPPES
Maryland MEDICAID 765131700

Popular Providers