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Individual

DR. THOMAS J FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PH D

Contact information

Practice address
844 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-9895
(360) 582-5614
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 683-9895
(360) 582-5614

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
22612
AL
207RH0003X
Hematology & Oncology Physician
30401
TN
207RH0003X
Hematology & Oncology Physician
MD181320
OR
207RH0003X
Hematology & Oncology Physician
Primary
MD60418114
WA
207RH0003X
Hematology & Oncology Physician
ME85034
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102I908108
MEDICARE PTAN
AL
05
109804
AL
01
13519Y
MEDICARE PTAN
FL
05
264474600
FL
Enumeration date
09/12/2005
Last updated
04/26/2025
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