Individual
MS. DONNA M. FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
330 BROOKLINE AVENUE, 7 FELDBERG OUTPATIENT, BOSTON, MA 02215-5400
(617) 667-6841
(617) 667-7978
Mailing address
330 BROOKLINE AVE, FELDBERG 7 OUTPATIENT, BOSTON, MA 02215-5400
(617) 667-6841
(617) 667-7978
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2147
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139341
CIGNA
NH
01
—
222594672
GREATWEST HEALTHCARE
NH
05
—
30332576
—
NH
Enumeration date
06/16/2005
Last updated
07/08/2007
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