Individual
MR. BRIAN MICHAEL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, ATC, LAT
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6534
(617) 730-0178
Mailing address
92 SANBORN AVE, WEST ROXBURY, MA 02132-3837
(617) 327-0730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
71
MA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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