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Individual

DR. EDWARD P FITZPATRICK

Active
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Individual

DR. EDWARD P FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
035599
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001355991
—
CT
01
—
004214433
GHMC GRP CAID ID
CT
01
—
010035599CT01
BCBS NB LOCATION
CT
01
—
010035599CT03
BCBS MERIDEN LOCATION
CT
01
—
01035599
CIGNA PROV ID
CT
01
—
035599-1831
CONNECTICARE MERIDEN
CT
01
—
035599-3714
CONNECTICARE NB LOCATION
CT
01
—
060173
HEALTH NET PROV ID
CT
01
—
1255448155
GHMC GRP NPI ID
CT
01
—
136392
WELLCARE MEDICARE
CT
01
—
5907379
AETNA REF ID
CT
01
—
914443
BLOCK VISION ID
CT
01
—
932774
HEALTH NET REF ID
CT
01
—
C01373
GHMC GRP MEDICARE ID
CT
01
—
CT5599
EYE MED VISION CARE
CT
01
—
P422705
OXFORD ID
CT
Enumeration date
06/01/2005
Last updated
05/13/2008
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