Individual
JOHN T FITZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
2597 SCHOENERSVILLE RD, SUITE 101, BETHLEHEM, PA 18017
(610) 691-0973
(610) 691-7882
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 629-2282
(610) 691-7882
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA000849L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA000849L
STATE LICENSE
PA
Enumeration date
04/28/2006
Last updated
05/05/2022
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