Fitzgerald, Dennis C

Fitzgerald, Dennis C is an sole proprietor health care provider with primary practice located at 925 Chestnut St Fl 6 , Philadelphia PA 19107-4204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fitzgerald, Dennis C can be contacted via phone (215) 955-6760.

Contact Information

Primary practice address
925 Chestnut St Fl 6 Philadelphia PA 19107-4204
Fax: (215) 923-4532
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD13305 District of Columbia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD458598 Pennsylvania

Profile Details

NPI number 1730169798
LBN Legal business name Fitzgerald, Dennis C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Dec 31st, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730169798 NPPES
Pennsylvania MEDICAID 103124390
Pennsylvania MEDICAID 010772400
Pennsylvania MEDICAID 010155584

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