Active NPIIndividual provider

Timothy P Fitzgibbons, MD

Internal Medicine, Cardiovascular Disease in Worcester, Massachusetts

NPI Number1710911565
Practice location
55 Lake Ave N, Department Of Cardiology, Worcester, MA 01655-0002
Fax
774-441-7657
Last updated
October 31, 2020

Timothy P Fitzgibbons is an Internal Medicine, Cardiovascular Disease based in Worcester, MA. Timothy P Fitzgibbons practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Timothy P Fitzgibbons is 1710911565 and holds a License No. 226410 (MA). The current practice location address for Timothy P Fitzgibbons is 55 Lake Ave N, Department Of Cardiology, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-3452 and via fax at 774-441-7657.

Provider Profile Details

NPI Number
1710911565
Provider Name
Timothy P Fitzgibbons
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Department Of Cardiology, Worcester, MA 01655-0002
Phone Number
508-334-3452
Fax Number
774-441-7657
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2006
Last Update Date
October 31, 2020
Certification Date
October 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Department Of Cardiology
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-3452
Fax Number
774-441-7657
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348

License Information

License Number
226410
License State
MA
Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy P Fitzgibbons, MD?

The NPI number of Timothy P Fitzgibbons, MD is 1710911565. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Timothy P Fitzgibbons, MD?

Timothy P Fitzgibbons, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in MA under license number 226410.

Where does Timothy P Fitzgibbons, MD practice?

The practice location is 55 Lake Ave N, Department Of Cardiology, Worcester, MA 01655-0002. The office can be reached at 508-334-3452 (phone) or 774-441-7657 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710911565 directly on the NPPES registry website.

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