Individual
DR. DANIEL JOSEPH FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 AMHERST ST, WINCHESTER, VA 22601-3054
(304) 263-4999
(304) 263-0984
Mailing address
PO BOX 1146, MARTINSBURG, WV 25402
(540) 722-2369
(542) 722-6601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101233636
VA
208000000X
Pediatrics Physician
200400859
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010289203
—
VA
Enumeration date
08/08/2006
Last updated
06/28/2019
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