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Organization

DANIEL J. FITZPATRICK, D.O.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL FITZPATRICK D.O. (OWNER)
(330) 394-1405
Entity
Organization

Contact information

Practice address
341 YOUNGSTOWN KINGSVILLE RD SE, VIENNA, OH 44473-9601
(330) 394-2305
(330) 394-1405
Mailing address
2219 E MARKET ST, WARREN, OH 44483-6105
(330) 394-2305
(330) 394-1405

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
30-00-3237
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0629627
OH
Enumeration date
10/21/2011
Last updated
10/21/2011
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