Individual
DR. DEBORAH WATSON FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5457 TWIN KNOLLS RD STE 100, COLUMBIA, MD 21045-3263
(410) 689-7400
Mailing address
6400 SHAFER CT STE 700, ROSEMONT, IL 60018-4989
(346) 376-1702
(224) 532-2780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D59736
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402917800
—
MD
01
—
CN6601
R/R MEDICARE GROUP #
MD
01
—
P00122748
R/R MEDICARE#
MD
Enumeration date
04/04/2006
Last updated
05/18/2022
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