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NPI 1700894102

NPI 1700894102 : NORRISTOWN OB/GYN ASSOCIATES, P.C. : NORRISTOWN, PA

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General NPI Number Information
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    NPI Number           |    1700894102
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORRISTOWN OB/GYN ASSOCIATES, P.C. 
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Dates
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    Enumeration Date     |    08/03/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1437 DEKALB ST SUITE 101
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    City                 |    NORRISTOWN
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    State                |    PA
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    Zip                  |    19401-3440
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    Country              |    US
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    Telephone            |    610-279-3340
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    Fax                  |    610-279-1038
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Provider Business Mailing Address
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    Address Line         |    1437 DEKALB ST SUITE 101
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    City                 |    NORRISTOWN
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    State                |    PA
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    Zip                  |    19401-3440
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    Country              |    US
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    Telephone            |    610-279-3340
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    Fax                  |    610-279-1038
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |    DR. JOHN J FITZGERALD III
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    Credential           |    D.O.
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    Telephone            |    610-279-3340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    
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    License Number State |    
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