Individual
KELLY FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
115 VALLEY BROOK CT, MIDDLESEX, NJ 08846-1625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00380700
NJ
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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