Individual
DR. MATTHEW FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
123 E MAIN ST, DENVILLE, NJ 07834-2644
(973) 586-2217
(973) 586-2290
Mailing address
2301 BARCLAY CT, RANDOLPH, NJ 07869-1273
(973) 262-5646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03664500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03664500
NJ BOARD OF PHARMACY
NJ
Enumeration date
12/16/2015
Last updated
12/16/2015
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