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NPI Code Detail

MEDICARE: DR. JEAN O FITZGERALD MD

MEDICARE: DR. JEAN O FITZGERALD 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
1207V00000XObstetrics & Gynecology PhysicianMD042716EPA

General Provider Information

NPI Number : 1801894456
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEAN O FITZGERALD MD
Provider Business Mailing Address
First Line : 708 N SHADY RETREAT RD
Second Line : SUITE 7
City : DOYLESTOWN
State : PA
Zip : 18901-2503
Country : US
Telephone Number : 215-340-2229
Fax Number : 215-340-1753
Provider Business Practice Location Address
First Line : 708 N SHADY RETREAT RD
Second Line : SUITE 7
City : DOYLESTOWN
State : PA
Zip : 18901-2503
Country : US
Telephone Number : 215-340-2229
Fax Number : 215-340-1753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JEAN O FITZGERALD MD” Practice Location

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