Individual
JOHN T FITZPATRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
887 E BROADWAY, MILFORD, CT 06460-6235
(860) 205-4449
Mailing address
887 E BROADWAY, MILFORD, CT 06460-6235
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD437845
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035819300
—
MD
05
—
102368346
—
PA
01
—
1583870
GATEWAY-WMG
PA
01
—
20091802
AMERIHEALTH MERCY-WMG
PA
01
—
2116886
HIGHMARK BLUE SHIELD
PA
01
—
281749
UNISON-WMG
PA
01
—
919374
CAREFIRST MD BCBS-WMG
MD
Enumeration date
11/15/2005
Last updated
04/22/2025
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