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NPI Code Detail

MEDICARE: PAUL FITCH MD

MEDICARE: PAUL 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
1207Q00000XFamily Medicine Physician036369CT

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 : 1881628147
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL FITCH MD
Provider Business Mailing Address
First Line : 3 FARM GLEN BLVD
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-1981
Country : US
Telephone Number : 203-426-8959
Fax Number : 203-426-5557
Provider Business Practice Location Address
First Line : 184 MOUNT PLEASANT RD
Second Line :
City : NEWTOWN
State : CT
Zip : 06470-1408
Country : US
Telephone Number : 203-426-8959
Fax Number : 203-426-5557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 03/09/2015

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