Individual
MR. JOHN R. FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 N GASTON AVE, APT.B, SOMERVILLE, NJ 08876-2425
(347) 308-4130
Mailing address
74 N GASTON AVE, APT. B, SOMERVILLE, NJ 08876-2425
(347) 308-4130
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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