Individual
ELIZABETH FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2300
(617) 533-2341
Mailing address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2267885
MA
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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