Individual
MICHAEL A FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4870 BROAD RD, SUITE 3Q, SYRACUSE, NY 13215-2206
(315) 492-5292
(315) 492-5123
Mailing address
4870 BROAD RD, SUITE 3Q, SYRACUSE, NY 13215-2206
(315) 492-5292
(315) 492-5123
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1189823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00482260
—
NY
Enumeration date
07/20/2006
Last updated
03/06/2008
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