Fitzgerald, Donna M.

Fitzgerald, Donna M. is an individual health care provider with primary practice located at 330 Brookline Avenue 7 Feldberg Outpatient, Boston MA 02215-5400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fitzgerald, Donna M. can be contacted via phone (617) 667-6841.

Contact Information

Primary practice address
330 Brookline Avenue 7 Feldberg Outpatient Boston MA 02215-5400
Phone: (617) 667-6841
Fax: (617) 667-7978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2147 Massachusetts

Profile Details

NPI number 1487659330
LBN Legal business name Fitzgerald, Donna M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2007 - about 18 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 1487659330 NPPES
New Hampshire Other 222594672 GREATWEST HEALTHCARE
New Hampshire Other 2139341 GREATWEST HEALTHCARE
New Hampshire Other 222594672 GREATWEST HEALTHCARE
New Hampshire MEDICAID 30332576 GREATWEST HEALTHCARE
New Hampshire Other 222594672 GREATWEST HEALTHCARE

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