| Organization Name: | DANIEL J. FITZPATRICK, D.O. |
| NPI Number: | 1083999098 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL FITZPATRICK (OWNER) |
| Mailing Address: | 341 Youngstown Kingsville Rd Se Vienna |
| State: | OH US |
| Postal Code: | 444739601 |
| Phone Number: | 3303942305 |
| Fax Number: | 3303941405 |
| NPI Enumeration Date: | 10/21/2011 |
| NPI Last Update Date: | 10/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0000X |
| License Number: | 30-00-3237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |