Individual
LAURENCE N FITZHENRY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 690-1089
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 690-1089
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD437420
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA09824900
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD437420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102319486
—
PA
Enumeration date
05/05/2007
Last updated
03/05/2020
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