Individual
MICHAEL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8507 MAPLEVILLE RD, BOONSBORO, MD 21713-1818
(301) 671-5040
Mailing address
9946 KURTYKA CIR, HAGERSTOWN, MD 21740-9504
(301) 714-1197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00912
MD
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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