Fitzgerald, Terrence Thomas

Fitzgerald, Terrence Thomas is an individual health care provider with primary practice located at 516 Glenwood Ave , Baltimore MD 21212-4230. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Fitzgerald, Terrence Thomas can be contacted via phone (410) 925-1220.

Contact Information

Primary practice address
516 Glenwood Ave Baltimore MD 21212-4230
Phone: (410) 925-1220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D31064 Maryland
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D31064 Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X D31064 Maryland

Profile Details

NPI number 1881683522
LBN Legal business name Fitzgerald, Terrence Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2005
Last updated Mar 21st, 2013 - about 11 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 1881683522 NPPES
Maryland MEDICAID 465611300
Maryland MEDICAID 0497570

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