MEDICARE: ROBERT D FITCH MD

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
1	207Q00000X	Family Medicine Physician	35.058091	OH

General Provider Information

NPI Number	:	1790767358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT D FITCH MD

Provider Business Mailing Address
First Line	:	983 S REMINGTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-2461
Country	:	US
Telephone Number	:	617-237-7925
Fax Number	:

Provider Business Practice Location Address
First Line	:	983 S REMINGTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-2461
Country	:	US
Telephone Number	:	617-237-7925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	11/13/2025

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