Individual
MATTHEW A FITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850A TOWN CENTER PKWY, SUITE 301, RESTON, VA 20190-5851
(703) 709-9701
(703) 709-8084
Mailing address
1850A TOWN CENTER PKWY, SUITE 301, RESTON, VA 20190-5851
(703) 709-9701
(703) 709-8084
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101250534
VA
208600000X
Surgery Physician
2005010623
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207411307
—
MO
Enumeration date
06/01/2006
Last updated
05/03/2012
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