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Individual

ROBERT JOHN FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
270 FARMINGTON AVENUE MC 6210, FARMINGTON, CT 06030-6210
(860) 679-2893
(860) 679-1349
Mailing address
270 FARMINGTON AVENUE MC 6210, FARMINGTON, CT 06030-6210
(860) 679-2893
(860) 679-1349

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
000227
CT
207R00000X
Internal Medicine Physician
Primary
70492
MA
2083X0100X
Occupational Medicine Physician
000227
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437285129
CT
Enumeration date
02/26/2007
Last updated
03/23/2021
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