Individual
KATHERINE E FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
266 MAIN ST, HEYWOOD FAMILY MEDICINE, GARDNER, MA 01440-2927
(978) 630-5030
(978) 630-5033
Mailing address
266 MAIN ST, HEYWOOD FAMILY MEDICINE, GARDNER, MA 01440-2927
(978) 630-5030
(978) 630-5033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
249736
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094256A
—
MA
01
—
M21141
MEDICARE GROUP# - FAMILY MEDICAL & MATERNITY CARE, PC
MA
Enumeration date
06/25/2009
Last updated
06/15/2016
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