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NPI Code Detail

MEDICARE: ANDRIETTE MARTIN FITCH M.D.

MEDICARE:   ANDRIETTE MARTIN FITCH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician23650LA
2207R00000XInternal Medicine Physician23650LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932178381
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRIETTE MARTIN FITCH M.D.
Provider Business Mailing Address
First Line : 4336 NORTH BLVD.
Second Line : SUITE 103
City : BATON ROUGE
State : LOUISIANA
Zip : 70806
Country : UM
Telephone Number : 225-383-3187
Fax Number : 225-383-3190
Provider Business Practice Location Address
First Line : 4336 NORTH BLVD
Second Line : SUITE 103
City : BATON ROUGE
State : LA
Zip : 70806-3920
Country : US
Telephone Number : 225-383-3187
Fax Number : 225-383-3190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 03/27/2017

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Directions to “ ANDRIETTE MARTIN FITCH M.D.” Practice Location

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