Individual
AMY FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3830
(215) 322-7550
(215) 322-7117
Mailing address
44 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3830
(215) 322-7550
(215) 322-7117
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD045677L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014219740006
—
PA
01
—
DF3318
TRAVELERS MEDICARE
PA
Enumeration date
09/15/2005
Last updated
09/20/2011
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