Individual
JANE MOIRA FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 N BROAD ST, SUITE 100, PHILADELPHIA, PA 19107-1511
(215) 557-0212
(215) 557-0508
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD042072L
PA
Other
Enumeration date
02/13/2006
Last updated
05/11/2016
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