Individual
MR. THOMAS M FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E3409
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E3409
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E34090
BLUE SHIELD
CA
05
—
000E34090
—
CA
01
—
680159845
BLUE CROSS
CA
Enumeration date
06/09/2006
Last updated
05/16/2013
Update your record
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