Individual
ELAINE E FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6835 BROADWAY AVE, METROHEALTH BROADWAY HEALTH CENTER, CLEVELAND, OH 44105-1313
(216) 957-1500
Mailing address
6835 BROADWAY AVE, METROHEALTH BROADWAY HEALTH CENTER, CLEVELAND, OH 44105-1313
(216) 957-1500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35051386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0650353
—
OH
Enumeration date
08/29/2006
Last updated
12/08/2011
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