Individual
KATHLEEN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 DUDLEY ST, PROVIDENCE, RI 02905-2436
(401) 453-7555
Mailing address
PO BOX 6300, PROVIDENCE, RI 02940-6300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD5120
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002291
—
RI
Enumeration date
07/20/2006
Last updated
12/15/2008
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