# DANIEL J. FITZPATRICK, D.O.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083999098
- **Authorized official:** MR. DANIEL FITZPATRICK D.O. (OWNER)
- **Authorized official phone:** (330) 394-1405

## Contact information

- **Practice address:** 341 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH 44473-9601
- **Practice address phone:** (330) 394-2305
- **Practice address fax:** (330) 394-1405
- **Mailing address:** 2219 E MARKET ST, WARREN, OH 44483-6105
- **Mailing address phone:** (330) 394-2305
- **Mailing address fax:** (330) 394-1405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 30-00-3237 | OH | Yes |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 10/21/2011