Matthias, Dwight Fitzgerald

Matthias, Dwight Fitzgerald is an sole proprietor health care provider with primary practice located at 11803 Jefferson Ave Port Warwick Medical Arts Suite 236, Newport News VA 23606-2565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Matthias, Dwight Fitzgerald can be contacted via phone (757) 594-1072.

Contact Information

Primary practice address
11803 Jefferson Ave Port Warwick Medical Arts Suite 236 Newport News VA 23606-2565
Phone: (757) 594-1072
Fax: (757) 594-1195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 0101229098 Virginia
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A63168 California

Profile Details

NPI number 1609805332
LBN Legal business name Matthias, Dwight Fitzgerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609805332 NPPES
Virginia Other 0101229098 VA LICENSE

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