Active NPIIndividual provider

Kathleen M Fitzgerald, MD

Pediatrics in Milton, Massachusetts

NPI Number1790791390
Practice location
East Milton Pediatric Assoc, 464 Granite Avenue, Milton, MA 02186-5625
Fax
—
Last updated
July 8, 2007

Kathleen M Fitzgerald is a Pediatrics based in Milton, MA. Kathleen M Fitzgerald practices in Milton, MA and has the professional credentials of MD. The NPI Number for Kathleen M Fitzgerald is 1790791390 and holds a License No. 71622 (MA). The current practice location address for Kathleen M Fitzgerald is East Milton Pediatric Assoc, 464 Granite Avenue, Milton, MA 02186-5625 and can be reached out via phone at 617-696-5900.

Provider Profile Details

NPI Number
1790791390
Provider Name
Kathleen M Fitzgerald
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
East Milton Pediatric Assoc, 464 Granite Avenue, Milton, MA 02186-5625
Phone Number
617-696-5900
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
East Milton Pediatric Assoc
464 Granite Avenue
Milton, MA 02186-5625
City
Milton
Zip
02186-5625
Phone Number
617-696-5900
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
East Milton Pediatric Assoc
464 Granite Avenue
Milton, MA 02186-5625
City
Milton
State
MA
Zip
02186-5625
Phone Number
617-696-5900

License Information

License Number
71622
License State
MA
Taxonomy
Pediatrics · 208000000X · 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 Kathleen M Fitzgerald, MD?

The NPI number of Kathleen M Fitzgerald, MD is 1790791390. It was assigned on August 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Kathleen M Fitzgerald, MD?

Kathleen M Fitzgerald, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 71622.

Where does Kathleen M Fitzgerald, MD practice?

The practice location is East Milton Pediatric Assoc, 464 Granite Avenue, Milton, MA 02186-5625. The office can be reached at 617-696-5900 (phone).

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 1790791390 directly on the NPPES registry website.

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