Individual
MARK PATRICK FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF NEUROLOGY, PHILADELPHIA, PA 19104
(215) 590-1719
(215) 590-1771
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF NEUROLOGY, PHILADELPHIA, PA 19104
(215) 590-1719
(215) 590-1771
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MT198925
PA
Other
Enumeration date
06/06/2011
Last updated
06/24/2016
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