Individual
DR. EDWARD TED FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6325 MAIN ST, SUITE 200, WILLIAMSVILLE, NY 14221-5822
(716) 839-3930
(716) 839-2667
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103300945
VA
213E00000X
Podiatrist
1144
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006292
NY
Other
Enumeration date
12/12/2006
Last updated
06/21/2019
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