Organization
FITZGERALD PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARNISHA FITZGERALD (SOLE PROPRIETOR)
(443) 763-7154
Entity
Organization
Contact information
Practice address
2232 E MONUMENT ST, BALTIMORE, MD 21205-2431
(667) 207-3552
Mailing address
2232 E MONUMENT ST, BALTIMORE, MD 21205-2431
(667) 207-3552
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
MD
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/18/2018
Last updated
05/16/2024
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