Organization
AMY FITZSIMMONS, MD , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FITZSIMMONS MD (OWNER)
(215) 322-7550
Entity
Organization
Contact information
Practice address
44 2ND STREET PIKE, SUITE 200, SOUTHAMPTON, PA 18966-3830
(215) 322-7550
(215) 322-7117
Mailing address
44 2ND STREET PIKE, SUITE 200, SOUTHAMPTON, PA 18966-3830
(215) 322-7550
(215) 322-7117
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD045677L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1898500
HIGHMARK BS
—
Enumeration date
10/05/2006
Last updated
05/27/2008
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