Individual
THOMAS E FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CONGRESS ST, STE 304, QUINCY, MA 02169-0909
(617) 479-7333
(617) 773-0198
Mailing address
700 CONGRESS ST, STE 304, QUINCY, MA 02169-0909
(617) 479-7333
(617) 773-0198
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051025
TUFTS
MA
05
—
6175732
—
MA
01
—
8164
HPHC
MA
Enumeration date
10/25/2005
Last updated
08/24/2010
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