Individual
FITZGERALD JUNIOR CASIMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510
(570) 703-7245
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(702) 716-1445
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
FC088719
NC
208600000X
Surgery Physician
Primary
MD452172
PA
2086S0102X
Surgical Critical Care Physician
ME111238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004154000
—
FL
Enumeration date
02/19/2008
Last updated
06/10/2025
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