Doctor Name: | MR. BRIAN P FITZGERALD |
NPI Number: | 1013265313 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 233096 |
Business Practice Address: | 20 Copperfield Dr Bridgewater, MA - 023241944 |
Business Phone Number: | 5088972212 |
Business Fax Number: | 5088972225 |
Mailing Address: | 20 Copperfield Dr, BRIDGEWATER |
State: | MA |
Postal Code: | 023241944 |
Phone Number: | 5088972212 |
Fax Number: | 5088972225 |
NPI Enumeration Date: | 08/17/2012 |
NPI Last Update Date: | 08/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 233096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |