Organization
T J FITZGIBBONS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE JOHN FITZGIBBONS M.D. (OWNER)
(213) 977-1211
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD STE 905, LOS ANGELES, CA 90017-4809
(213) 977-1211
Mailing address
1245 WILSHIRE BLVD STE 905, LOS ANGELES, CA 90017-4809
(213) 977-0625
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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