Fitzgerald, Michael A

Fitzgerald, Michael A is an individual health care provider with primary practice located at 4870 Broad Rd Suite 3Q, Syracuse NY 13215-2206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fitzgerald, Michael A can be contacted via phone (315) 492-5292.

Contact Information

Primary practice address
4870 Broad Rd Suite 3Q Syracuse NY 13215-2206
Phone: (315) 492-5292
Fax: (315) 492-5123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 1189823 New York

Profile Details

NPI number 1083634109
LBN Legal business name Fitzgerald, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 6th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083634109 NPPES
New York MEDICAID 00482260

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