Individual
TIMOTHY LOUIS FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
887 CONGRESS ST SUITE 400, PORTLAND, ME 04102-3100
(207) 774-6368
(207) 774-9388
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-6914
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD21384
ME
Other
Enumeration date
03/10/2006
Last updated
04/27/2017
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