Organization
J. WARD FITZPATRICK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARD FITZPATRICK D.D.S. (OWNER)
(570) 283-3300
Entity
Organization
Contact information
Practice address
123 PIKE ST, PORT JERVIS, NY 12771-1824
(845) 856-3311
(845) 856-5389
Mailing address
123 PIKE ST, PORT JERVIS, NY 12771-1824
(845) 856-3311
(845) 856-5389
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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