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Individual

MRS. CHARLOTTE A FITZSIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2319 S GEORGE ST, YORK, PA 17403-5009
(717) 812-4090
Mailing address
201 TANYARD RD, CONESTOGA, PA 17516-9101
(703) 463-7056

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002650
VA
363AS0400X
Surgical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871781278
VA
01
4330530001
DMERC
Enumeration date
10/10/2007
Last updated
02/24/2016
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