Individual
DR. JOHN EDMUND FITZGERALD
Active
Individual
DR. JOHN EDMUND FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101022536
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103793
ANTHEM/VA HEALTHKEEPERS
VA
01
—
11869V
ANTHEM/VA HEALTHKEEPERS
VA
01
—
1463161
CIGNA
VA
01
—
25-00009
UNITED HEALTHCARE
VA
01
—
27413300
FEDERAL BLUCK LUNG
VA
01
—
276196
ANTHEM/VA HEALTHKEEPERS
VA
01
—
276227
ANTHEM/VA HEALTHKEEPERS
VA
01
—
276269
ANTHEM/VA HEALTHKEEPERS
VA
01
—
276294
ANTHEM/VA HEALTHKEEPERS
VA
01
—
276351
ANTHEM/VA HEALTHKEEPERS
VA
01
—
311989
MAMSI
VI
01
—
4137155
AETNA/US HEALTHCARE
VA
01
—
44220
SENTARA HEALTH/OPTIMA
VA
01
—
56192
SOUTHERN HEALTH SERVICES
VA
01
—
60015038
RAILROAD MEDICARE
VA
05
—
6060919
—
VA
01
—
730049
AETNA/US HEALTHCARE HMO
VA
Enumeration date
07/20/2006
Last updated
07/09/2014
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