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Individual

DR. EDWARD TED FITZPATRICK

Active
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Individual

DR. EDWARD TED FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103300945
VA
213E00000X
Podiatrist
1144
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006292
NY

Other

Enumeration date
12/12/2006
Last updated
06/21/2019
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