Individual
JOHN M. FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
792 COLLEGE PKWY, SUITE 303, COLCHESTER, VT 05446-3052
(802) 655-4911
(802) 655-8692
Mailing address
792 COLLEGE PKWY, SUITE 303, COLCHESTER, VT 05446-3052
(802) 655-4911
(802) 655-8692
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
042-0007069
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006012
—
VT
Enumeration date
02/03/2007
Last updated
07/08/2007
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