Fitzsimons, Michael G

Fitzsimons, Michael G is an sole proprietor health care provider with primary practice located at 55 Fruit Street Grb 406E, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fitzsimons, Michael G can be contacted via phone (617) 726-8808.

Contact Information

Primary practice address
55 Fruit Street Grb 406E Boston MA 02114-2696
Phone: (617) 726-8808
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 206890 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 206890 Massachusetts

Profile Details

NPI number 1588632848
LBN Legal business name Fitzsimons, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2006
Last updated Sep 16th, 2014 - about 10 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 1588632848 NPPES
Massachusetts MEDICAID 0114961
Massachusetts Other 206890
Massachusetts Other J22836

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